FDA Adverse Event Death Summary report: N

TALENT ABDOMINAL STENT GRAFT SYSTEM

MDR report key: 1601068 · Received February 10, 2010

Report

Report Number
2953200-2010-00199
Event Type
Death
Date Received
February 10, 2010
Date of Event
January 10, 2010
Report Date
January 11, 2010
Manufacturer
MEDTRONIC CARDIOVASCULAR
Product Code
MIH
PMA / PMN Number
P070027
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B) (4): RESULTS: DEATH. THE CAUSE OF THE KINK IN THE STENT GRAFT IS UNK. CONCLUSION: THE CAUSE OF THE KINK IN THE STENT GRAFT IS UNK.

Description of Event or Problem · 1

A TALENT STENT GRAFT DEVICE WAS IMPLANTED INTO A PATIENT FOR THE ENDOVASCULAR TREATMENT OF AN ABDOMINAL AORTIC ANEURYSM. ANEURYSM AND VESSEL MORPHOLOGY WERE NOT REPORTED. IT WAS REPORTED THAT WHEN THE STENT GRAFT WAS BEING DEPLOYED WITH THE USE OF A DIGITAL SUBTRACTION ANGIOGRAM, THE STENT GRAFT KINKED. THE CAUSE OF THE KINKING OF THE STENT GRAFT IS KNOWN. THE PHYSICIAN ELECTED TO PERFORM AN OPEN SURGERY REPAIR; HOWEVER, THE PATIENT EXPIRED AFTER THE OPEN SURGICAL REPAIR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TALENT ABDOMINAL STENT GRAFT SYSTEM NONE MIH MEDTRONIC CARDIOVASCULAR NA V00292068

Patients

Seq Age Sex Outcome Treatment
1 UNK Death