FDA Adverse Event Injury Summary report: N

TALENT ABDOMINAL STENT GRAFT SYSTEM

MDR report key: 2010911 · Received March 4, 2011

Report

Report Number
2953200-2011-00602
Event Type
Injury
Date Received
March 4, 2011
Date of Event
February 2, 2011
Report Date
February 2, 2011
Manufacturer
MEDTRONIC CARDIOVASCULAR SANTA ROSA
Product Code
MIH
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). RESULTS: (GRAFT MIGRATION, ANEURYSM ENLARGEMENT); (UNK CAUSE OF STENT FRACTURE). CONCLUSION: (UNK CAUSE OF STENT GRAFT FRACTURE).

Description of Event or Problem · 1

A TALENT STENT GRAFT SYSTEM WAS IMPLANTED IN A PT FOR THE ENDOVASCULAR TREATMENT OF AN ABDOMINAL AORTIC ANEURYSM APPROX 7 YEARS AGO. ANEURYSM AND VESSEL MORPHOLOGY AT THE TIME OF IMPLANT WERE NOT REPORTED. IT WAS REPORTED THAT THE STENT GRAFT SEEMS TO HAVE SLIPPED A LITTLE AND HAS DEVELOPED A STENT GRAFT FRACTURE. THERE IS NO EVIDENCE OF A TYPE 1 ENDOLEAK, BUT RECENTLY THERE HAS BEEN SIGNIFICANT SAC GROWTH NOTICED FROM THE PREVIOUS SCAN LAST YEAR TO THE CURRENT SCAN. NO INTERVENTION HAS BEEN REPORTED. NO CLINICAL SEQUELAE WERE REPORTED, AND THE PT IS FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TALENT ABDOMINAL STENT GRAFT SYSTEM MIH MEDTRONIC CARDIOVASCULAR SANTA ROSA NA M03H901337

Patients

Seq Age Sex Outcome Treatment
1 UNK