FDA Adverse Event Injury Summary report: N

TALENT ABDOMINAL STENT GRAFT SYSTEM - HYDRO

MDR report key: 1760605 · Received July 14, 2010

Report

Report Number
2953200-2010-01303
Event Type
Injury
Date Received
July 14, 2010
Date of Event
June 14, 2010
Report Date
June 14, 2010
Manufacturer
MEDTRONIC CARDIOVASCULAR
Product Code
MIH
PMA / PMN Number
P070027
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4): RESULTS: (GRAFT MIGRATION), (DISEASE PROGRESSION AND SEVERE AORTIC NECK ANGULATION; TYPE II ENDOLEAK).

Description of Event or Problem · 1

A TALENT STENT GRAFT WAS IMPLANTED IN A PATIENT FOR THE ENDOVASCULAR TREATMENT OF AN ABDOMINAL AORTIC ANEURYSM APPROXIMATELY 14 MONTHS AGO. ANEURYSM AND VESSEL MORPHOLOGY AT THE TIME OF IMPLANT WERE NOT REPORTED. IT WAS REPORTED THAT THE PATIENT RETURNED FOR FOLLOW-UP APPROXIMATELY 1 MONTH AGO, AND THE CT DEMONSTRATED A TYPE II ENDOLEAK. AT THE TIME OF THE FOLLOW-UP, VESSEL MORPHOLOGY WAS REPORTED AS MILD TORTUOSITY AND MILD CALCIFICATION, AND THE AORTIC NECK WAS 30-31 MM IN DIAMETER AND HAD DISEASE PROGRESSION AND SEVERE ANGULATION OF 70 DEGREES. THE PHYSICIAN ELECTED TO PERFORM COILING, WHICH SUCCESSFULLY RESOLVED THE TYPE II ENDOLEAK. DURING THE INTERVENTION, IT WAS ALSO NOTED THAT THE TALENT BIFURCATED STENT GRAFT HAD MIGRATED DISTALLY ABOUT 8 MM, ALTHOUGH THERE WAS NO ENDOLEAK. THE PHYSICIAN ELECTED TO PLACE TWO 36 MM TALENT AORTIC CUFFS, WHICH SUCCESSFULLY RESOLVED THE MIGRATION. NO ADDITIONAL SEQUELAE WERE REPORTED, AND THE PATIENT IS FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TALENT ABDOMINAL STENT GRAFT SYSTEM - HYDRO MIH MEDTRONIC CARDIOVASCULAR NA V00206796

Patients

Seq Age Sex Outcome Treatment
1 82 YR Required Intervention