FDA Adverse Event Injury Summary report: N

TALENT AAA

MDR report key: 3232889 · Received July 18, 2013

Report

Report Number
2953200-2013-01382
Event Type
Injury
Date Received
July 18, 2013
Date of Event
June 21, 2013
Report Date
June 21, 2013
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P070027
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). RESULTS: INHERENT RISK OF PROCEDURE (STENT GRAFT MIGRATION); PATIENT'S CONDITION AFFECTED EFFECTIVENESS OF DEVICE (DISEASE PROGRESSION, NECK DILATATION). CONCLUSION: DEVICE FAILURE/LACK OF EFFECTIVENESS RELATED TO PATIENT CONDITION (DISEASE PROGRESSION, NECK DILATATION).

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 AND VESSEL MORPHOLOGY AT THE TIME OF IMPLANT IS UNKNOWN. DURING A FOLLOW UP VISIT IT WAS DETERMINED THAT THE TALENT STENT GRAFT HAD MIGRATED DISTALLY DUE TO DISEASE PROGRESSION AND NECK DILATATION. THE PHYSICIAN FOUND NO SIGNS OF ENDOLEAK. AN ENDURANT CUFF WAS ADDED AND THE INTERVENTION WAS COMPLETED SUCCESSFULLY. NO ADDITIONAL CLINICAL SEQUELAE WERE REPORTED AND THE PATIENT IS FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
334206 TALENT AAA SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND V00413084

Patients

Seq Age Sex Outcome Treatment
1 00069 YR Required Intervention