FDA Adverse Event Injury Summary report: N

TALENT ABDOMINAL STENT GRAFT SYSTEM - HYDRO

MDR report key: 1760621 · Received July 14, 2010

Report

Report Number
2953200-2010-01310
Event Type
Injury
Date Received
July 14, 2010
Date of Event
June 14, 2010
Report Date
June 14, 2010
Manufacturer
MEDTRONIC CARDIOVASCULAR GALWAY
Product Code
MIH
PMA / PMN Number
P070027
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4): EVALUATION RESULTS: (DISSECTION), (NARROW VESSELS; MODERATE TO SEVERE VESSEL CALCIFICATION).

Description of Event or Problem · 1

A TALENT STENT GRAFT SYSTEM WAS IMPLANTED IN A PATIENT FOR THE ENDOVASCULAR TREATMENT OF AN ABDOMINAL AORTIC ANEURYSM. ANEURYSM MORPHOLOGY WAS NOT REPORTED. VESSEL MORPHOLOGY WAS REPORTED AS MILD TORTUOSITY AND MODERATE TO SEVERE CALCIFICATION, AND THE ILIAC ARTERIES WERE 8 MM IN DIAMETER ON THE RIGHT SIDE AND 7 MM IN DIAMETER ON THE LEFT SIDE. THE AORTIC NECK ANGULATION WAS 15 DEGREES. IT WAS REPORTED THAT THE PHYSICIAN WAS UNABLE TO ADVANCE THE TALENT DELIVERY SYSTEM THROUGH THE LEFT SIDE TO THE INTENDED LANDING AREA AND DURING THAT ATTEMPT, A DISSECTION IN THE LEFT ILIAC/COMMON ILIAC ARTERY BIFURCATION WAS NOTED. THE DEVICE WAS REMOVED FROM THE PATIENT AND DISCARDED BY THE USER FACILITY. THE PHYSICIAN ELECTED TO IMPLANT TWO 12 MM ANEURX ILIAC LIMBS TO COVER THE DISSECTION AND THEN WAS ABLE TO DELIVER AND IMPLANT AN ANEURX BIFURCATED STENT GRAFT TO COMPLETE THE CASE. NO ADDITIONAL CLINICAL 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 GALWAY NA V00439062

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention