FDA Adverse Event Injury Summary report: N

TALENT STENT GRAFT SYSTEM

MDR report key: 2821629 · Received November 6, 2012

Report

Report Number
2953200-2012-02134
Event Type
Injury
Date Received
November 6, 2012
Date of Event
January 1, 2011
Report Date
October 11, 2012
Manufacturer
MEDTRONIC CARDIOVASCULAR
Product Code
MIH
PMA / PMN Number
P070027
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

RESULTS: INHERENT RISK OF PROCEDURE (OCCLUSION). (CAUSE IS UNKNOWN). CONCLUSIONS: (CAUSE IS UNKNOWN).

Description of Event or Problem · 1

A TALENT STENT GRAFT SYSTEM WAS IMPLANTED INTO A PATIENT FOR THE ENDOVASCULAR TREATMENT FOR AN ABDOMINAL AORTIC ANEURYSM. ANEURYSM AND VESSEL MORPHOLOGY WERE NOT REPORTED. THE PHYSICIAN REVIEWED A CASE OF A PATIENT THAT WAS TREATED WITH A TALENT STENT GRAFT. AT THE TIME OF IMPLANT IT WAS REPORTED, ONE RENAL ARTERY APPEARED COMPROMISED WITH A POSSIBLE RENAL ANEURYSM THAT WAS NOT TREATED AT THAT TIME. THE IMPLANT PROCEDURE WAS CONSIDERED SUCCESSFUL AT THE TIME AND THE POSITIONING OF THE DEVICE WAS DESCRIBED AS ACCURATE. AT THE PATIENT'S 6 MONTH FOLLOW UP THE OTHER RENAL ARTERY HAD DEVELOPED STENOSIS AND REQUIRED TREATMENT. A STENT WAS USED TO OPEN UP THE VESSEL AND THE PATIENT RECOVERED WELL. NO ADDITIONAL CLINICAL SEQUELAE WERE REPORTED AND THE PATIENT IS FINE. EXACT DATE OF IMPLANT AND EXACT DATE OF IMPLANTATION IS UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TALENT STENT GRAFT SYSTEM SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC CARDIOVASCULAR

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention