FDA Adverse Event Injury Summary report: N

TALENT THORACIC STENT GRAFT SYSTEM WITH XCELERANT

MDR report key: 1953511 · Received January 5, 2011

Report

Report Number
2953200-2011-00005
Event Type
Injury
Date Received
January 5, 2011
Date of Event
December 3, 2010
Report Date
March 2, 2014
Manufacturer
MEDTRONIC CARDIOVASCULAR
Product Code
MIH
PMA / PMN Number
P070007
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
N

Narratives

Additional Manufacturer Narrative · 1

(B)(4): EVALUATION, RESULTS: (ENDOLEAK). EVALUATION, CONCLUSIONS: (LACK OF INFORMATION).

Description of Event or Problem · 1

A TALENT STENT GRAFT SYSTEM WAS IMPLANTED IN A PATIENT FOR THE ENDOVASCULAR TREATMENT OF A THORACIC AORTIC ANEURYSM. ANEURYSM AND VESSEL MORPHOLOGY WERE NOT REPORTED. IT WAS REPORTED THAT 3 DAYS POST INITIAL IMPLANT THAT A SLIGHT ENDOLEAK WAS CONFIRMED BY ANGIOGRAPHY AND TEE (TRANSESOPHAGEAL ECHOCARDIOGRAPHY). THE FOLLOWING DAY THE LSA WAS OCCLUDED BY COIL AND THE TYPE I ENDOLEAK RESOLVED WITH A TALENT EXTENSION DEVICE THAT WAS IMPLANTED IN THE PROXIMAL END. THE ENDOLEAK DISAPPEARED AFTER BALLOONING JUST UNDER THE MINI SUPPORT SPRING. NO ADDITIONAL CLINICAL SEQUELAE WERE REPORTED, AND THE PATIENT IS FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TALENT THORACIC STENT GRAFT SYSTEM WITH XCELERANT MIH MEDTRONIC CARDIOVASCULAR NA UNK

Patients

Seq Age Sex Outcome Treatment
1 00080 YR Male Required Intervention