FDA Adverse Event Injury Summary report: N

FREESTYLE AORTIC ROOT BIOPROSTHESIS

MDR report key: 12091600 · Received June 30, 2021

Report

Report Number
2025587-2021-02035
Event Type
Injury
Date Received
June 30, 2021
Date of Event
October 23, 2020
Report Date
June 30, 2021
Manufacturer
MEDTRONIC HEART VALVES DIVISION
Product Code
LWR
PMA / PMN Number
P970031
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CITATION: KITAMURA M, ET AL. SYSTEMATIC USE OF INTENTIONAL LEAFLET LACERATION TO PREVENT TAVI-INDUCED CORONARY OBSTRUCTION: FEASIBILITY AND EARLY CLINICAL OUTCOMES OF THE BASILICA TECHNIQUE. EUROINTERVENTION. 2020 OCT 23;16(8):682-690. DOI: 10.4244/EIJ-D-20-00386. EARLIEST DATE OF PUBLISH USED FOR DATE OF EVENT. 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 REGARDING THE INTENTIONAL LEAFLET LACERATION TO PREVENT CORONARY OBSTRUCTION AFTER A TRANSCATHETER AORTIC VALVE IMPLANT (TAVI). ALL DATA WERE COLLECTED FROM A SINGLE CENTER BETWEEN 2018 AND 2020. THE STUDY POPULATION INCLUDED 21 PATIENTS (PREDOMINANTLY FEMALE, MEAN AGE 78 YEARS), 1 OF WHOM WAS PREVIOUSLY IMPLANTED WITH MEDTRONIC FREESTYLE AORTIC ROOT, 1 OF WHOM WAS PREVIOUSLY IMPLANTED WITH A MEDTRONIC COREVALVE AND 18 OF WHOM WERE IMPLANTED VALVE IN VALVE WITH A MEDTRONIC EVOLUTR. NO SERIAL NUMBERS WERE PROVIDED. AMONG ALL PATIENTS NO DEATHS WERE REPORTED. AMONG ALL PATIENTS WITH A PREVIOUSLY IMPLANTED AORTIC ROOT OR TRANSCATHETER AORTIC VALVE, ADVERSE EVENTS INCLUDED: STENOSIS, AORTIC REGURGITATION AND INCREASED GRADIENT MEASUREMENTS. BASED ON THE AVAILABLE INFORMATION A MEDTRONIC PRODUCT MAY HAVE BEEN ASSOCIATED WITH THE ADVERSE EVENTS. AMONG ALL PATIENTS WITH A TRANSCATHETER VALVE IMPLANTED VALVE-IN-VALVE, ADVERSE EVENTS INCLUDED: MILD PARAVALVULAR LEAK (PVL), PATIENT-PROSTHESIS MISMATCH (PPM) WITHOUT INTERVENTION AND INCREASED GRADIENT MEASUREMENTS. BASED ON THE AVAILABLE INFORMATION A MEDTRONIC PRODUCT MAY HAVE BEEN ASSOCIATED WITH THE ADVERSE EVENTS. NO ADDITIONAL ADVERSE PATIENT EFFECTS OR PRODUCT PERFORMANCE ISSUES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
993377 FREESTYLE AORTIC ROOT BIOPROSTHESIS HEART-VALVE, NON-ALLOGRAFT TISSUE LWR MEDTRONIC HEART VALVES DIVISION 995

Patients

Seq Age Sex Outcome Treatment
1 78 YR Required Intervention