EDWARDS TRANSCATHETER HEART VALVE
Report
- Report Number
- 2015691-2020-14949
- Event Type
- Death
- Date Received
- December 10, 2020
- Date of Event
- October 1, 2009
- Report Date
- November 17, 2020
- Manufacturer
- EDWARDS LIFESCIENCES
- Product Code
- NPT
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SN
- Reporter Occupation
- PHYSICIAN
Narratives
PLEASE REFERENCE RELATED MANUFACTURER REPORT NOS: 2015691-2020-14942, 2015691-2020-14948, 2015691-2020-14953, 2015691-2020-14954, 2015691-2020-14955, 2015691-2020-14956, 2015691-2020-14957, AND 2015691-2020-14958.
THIS IS ONE OF NINE MANUFACTURER REPORTS BEING SUBMITTED FOR THIS CASE. THE IMPLANTED VALVE MODEL AND SIZE IS UNKNOWN. POSSIBLE VALVE USED ¿ EDWARDS SAPIEN TRANSCATHETER HEART VALVE ¿ PMA P110021, EDWARDS SAPIEN XT TRANSCATHETER HEART VALVE ¿ PMA P130009, OR EDWARDS SAPIEN 3 TRANSCATHETER HEART VALVE ¿ PMA P140031. CITATION: YAP, JONATHAN JL, ET AL. "IMPACT OF CHRONIC KIDNEY DISEASE ON OUTCOMES IN TRANSCATHETER AORTIC VALVE IMPLANTATION." ANN ACAD MED SINGAPORE 49 (2020): 273-84. PATIENTS UNDERGOING THV PROCEDURES OFTEN HAVE COMPLEX MEDICAL HISTORIES AND MULTIPLE CO-MORBIDITIES. THEY MAY ALSO HAVE LIMITED CARDIAC RESERVE THAT CAN IMPAIR RECOVERY FROM THE PROCEDURE. AFTER THV PROCEDURES, PATIENTS ARE CLOSELY MONITORED, WHICH INCLUDES ASSESSMENT OF DEVICE IMPLANTS. IN THIS CASE, THERE WAS NO ALLEGATION OR INDICATION A DEVICE MALFUNCTION CONTRIBUTED TO THIS ADVERSE EVENT. WITH THE LIMITED INFORMATION PROVIDED, THE CAUSE OF THE CARDIOVASCULAR DEATH IS UNKNOWN BUT MAY BE RELATED TO THE MECHANISMS DESCRIBED ABOVE. THE IFU AND TRAINING MANUALS HAVE BEEN REVIEWED AND NO INADEQUACIES HAVE BEEN IDENTIFIED WITH REGARDS TO WARNINGS, CONTRAINDICATIONS, AND THE DIRECTIONS/CONDITIONS FOR THE SUCCESSFUL USE OF THE DEVICE. COMPLAINT HISTORIES FOR ALL REPORTED EVENTS ARE REVIEWED AGAINST TRENDING CONTROL LIMITS ON A MONTHLY BASIS, AND ANY EXCURSIONS ABOVE THE CONTROL LIMITS ARE ASSESSED AND DOCUMENTED AS PART OF THIS MONTHLY REVIEW. NO CORRECTIVE OR PREVENTATIVE ACTIONS ARE REQUIRED AT THIS TIME.
AS REPORTED BY THE EDWARDS EUROPEAN AFFILIATE, THE ARTICLE: "IMPACT OF CHRONIC KIDNEY DISEASE ON OUTCOMES IN TRANSCATHETER AORTIC VALVE IMPLANTATION¿ WAS REVIEWED. DATA FROM 216 CONSECUTIVE PATIENTS, FROM A SINGLE TERTIARY CARDIAC CENTER, FROM OCTOBER 2009 TO AUGUST 2017, WITH SEVERE SYMPTOMATIC AS, WHO UNDERWENT TRANSCATHETER AORTIC VALVE IMPLANTATION (TAVI) USING SELF-EXPANDABLE VALVES AND BALLOON EXPANDABLE VALVES (SAPIEN, SAPIEN XT AND SAPIEN 3). 11 REPORTED PATIENTS EXPERIENCED CARDIOVASCULAR DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1446301 | EDWARDS TRANSCATHETER HEART VALVE | AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIVERED | NPT | EDWARDS LIFESCIENCES | VALVE UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Death |