FDA Adverse Event Injury Summary report: N

TALENT ABDOMINAL STENT GRAFT SYSTEM - HYDRO

MDR report key: 1772389 · Received July 23, 2010

Report

Report Number
2953200-2010-01384
Event Type
Injury
Date Received
July 23, 2010
Date of Event
June 25, 2010
Report Date
June 25, 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
NY, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4): RESULTS - ENDOLEAK; ANGULATED, REVERSE FUNNEL-SHAPED AORTIC NECK; PULLED THE STENT GRAFT DOWN.

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. THE AORTIC NECK WAS REVERSE FUNNEL-SHAPED WITH 45 DEGREES ANGULATION. IT WAS REPORTED THAT DURING THE REMOVAL OF THE DELIVERY CATHETER FOR THE TALENT BIFURCATED STENT GRAFT, THE PHYSICIAN INADVERTENTLY PULLED THE MAIN BODY DOWN, RESULTING IN A PROXIMAL TYPE I ENDOLEAK. THE PHYSICIAN ELECTED TO PLACE A TALENT AORTIC CUFF; HOWEVER, THERE WAS STILL A SLIGHT UNK ENDOLEAK PRESENT. NO FURTHER INTERVENTION WAS PERFORMED, AND THE ENDOLEAK LATER RESOLVED ON ITS OWN. 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 V00477118

Patients

Seq Age Sex Outcome Treatment
1 57 YR Required Intervention