FDA Adverse Event Injury Summary report: N

MOSAIC MITRAL BIOPROSTHETIC HEART VALVE

MDR report key: 11016791 · Received December 16, 2020

Report

Report Number
2025587-2020-03813
Event Type
Injury
Date Received
December 16, 2020
Date of Event
July 1, 2020
Report Date
December 15, 2020
Manufacturer
MEDTRONIC HEART VALVES DIVISION
Product Code
DYE
PMA / PMN Number
P990064
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CITATION: GONG F., ET AL. OPTIMAL IMAGING GUIDANCE DURING TRANSCATHETER MITRAL VALVE-IN-VALVE REPLACEMENT IN BIOPROSTHESES WITH RADIOLUCENT SEWING RINGS. J AM COLL CARDIOL CASE REP., 2020 JULY; 2(8):1129¿1134. DOI.ORG/10.1016/J.JACCAS.2020.05.073. EARLIEST DATE OF PUBLISH USED FOR EVENT DATE. MEDTRONIC PRODUCTS REFERENCED: MOSAIC (PMA# P990064, PRODUCT CODE: DYE). NO UNIQUE DEVICE IDENTIFIER (SERIAL/LOT) NUMBERS WERE PROVIDED; WITHOUT THIS INFORMATION IT COULD NOT BE DETERMINED WHETHER THESE OBSERVATIONS HAVE BEEN PREVIOUSLY REPORTED. WITHOUT RETURN OF THE PRODUCT NO DEFINITIVE CONCLUSION CAN BE MADE REGARDING THE CLINICAL OBSERVATIONS. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

MEDTRONIC RECEIVED INFORMATION VIA LITERATURE OF A CASE REPORT REGARDING OPTIMAL IMAGING GUIDANCE FOR VALVE-IN-VALVE TRANSCATHETER MITRAL VALVE REPLACEMENT (VIV TMVR). A (B)(6)-YEAR-OLD FEMALE PATIENT WITH RHEUMATIC HEART DISEASE, STROKE, CORONARY ARTERY DISEASE AND ATRIAL FIBRILLATION HAD UNDERGONE PRIOR MECHANICAL AORTIC VALVE REPLACEMENT, CORONARY ARTERY BYPASS GRAFTING (CABG), BIOPROSTHETIC AORTIC/MITRAL VALVE REPLACEMENTS AND DEFIBRILLATOR IMPLANTATION. SHE WAS HOSPITALIZED WITH A ONE-YEAR HISTORY OF RECURRENT HEART FAILURE HOSPITALIZATIONS. TTE/TEE REVEALED SEVERE MITRAL REGURGITATION WITH SEVERE PULMONARY HYPERTENSION DUE TO PROLAPSE AND A FLAIL LEAFLET INVOLVING THE 25-MM MEDTRONIC MOSAIC VALVE (NO SERIAL NUMBER PROVIDED). THE PATIENT UNDERWENT VIV TMVR USING A NON-MEDTRONIC VALVE WITHOUT COMPLICATIONS. NO ADDITIONAL ADVERSE PATIENT EFFECTS OR PRODUCT PERFORMANCE ISSUES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1480741 MOSAIC MITRAL BIOPROSTHETIC HEART VALVE HEART-VALVE, REPLACEMENT DYE MEDTRONIC HEART VALVES DIVISION 310-25

Patients

Seq Age Sex Outcome Treatment
1 73 YR Hospitalization| L| R