FDA Adverse Event Injury Summary report: N

MEDTRONIC TRANSCATHETER VALVE

MDR report key: 13480449 · Received February 8, 2022

Report

Report Number
2025587-2022-00377
Event Type
Injury
Date Received
February 8, 2022
Date of Event
October 11, 2021
Report Date
February 8, 2022
Manufacturer
MEDTRONIC HEART VALVES DIVISION
Product Code
NPT
PMA / PMN Number
P130021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CITATION: MONTALTO C, ET AL. OUTCOMES AFTER TRANSCATHETER AORTIC VALVE REPLACEMENT IN BICUSPID VERSUS TRICUSPID ANATOMY: A SYSTEMATIC REVIEW AND META-ANALYSIS. JACC CARDIOVASC INTERV. 2021 OCT 11;14(19):2144-2155. DOI: 10.1016/J.JCIN.2021.07.052. EARLIEST DATE OF PUBLISH USED FOR DATE OF EVENT. MEDTRONIC PRODUCTS REFERENCED: COREVALVE (PMA# P130021, PRODUCT CODE NPT), EVOLUT R (PMA# P130021, PRODUCT CODE NPT). EARLIEST APPROVED PRODUCT USED FOR PRODUCT CODE AND PMA#. 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 · 0

MEDTRONIC RECEIVED INFORMATION FROM A LITERATURE ARTICLE REGARDING THE OUTCOMES OF TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) IN BICUSPID AORTIC VALVE (BAV) VERSUS TRICUSPID AORTIC VALVE (TAV) ANATOMY. ALL DATA WAS COLLECTED FROM A META-ANALYSIS REVIEW OF 17 STUDIES PUBLISHED BETWEEN 2013 AND 2020. A TOTAL OF 181,433 PATIENTS WERE INCLUDED IN THE STUDY POPULATION (PREDOMINANTLY MALE, MEAN AGE 78.1 YEARS), COMPRISING 174,764 WITH TAV AND 6,669 WITH BAV. AN UNDISCLOSED NUMBER OF THESE PATIENTS WERE IMPLANTED WITH A MEDTRONIC COREVALVE OR EVOLUT R TRANSCATHETER VALVE. NO UNIQUE DEVICE IDENTIFIER NUMBERS WERE PROVIDED. THE ONE-YEAR MORTALITY RATES WERE 91.3% AND 90.8% IN BAV AND TAV PATIENTS, RESPECTIVELY. NO STATEMENT WAS MADE SUGGESTING A CAUSAL OR CONTRIBUTORY RELATIONSHIP BETWEEN MEDTRONIC PRODUCT AND THE DEATHS. NON-DEATH ADVERSE EVENTS INCLUDED: MAJOR VASCULAR COMPLICATIONS, MYOCARDIAL INFARCTION, STROKE/TRANSIENT ISCHEMIC ATTACK, MAJOR OR L IFE-THREATENING BLEEDING, ANNULAR RUPTURE, CORONARY OCCLUSION, VALVE EMBOLIZATION (DISLODGEMENT), CONVERSION TO SURGERY, NEED FOR SECOND VALVE IMPLANTATION, NEW PERMANENT PACEMAKER IMPLANTATION, AND MODERATE TO SEVERE PARAVALVULAR LEAK. MEDTRONIC PRODUCT MAY HAVE BEEN ASSOCIATED WITH THESE ADVERSE EVENTS. NO ADDITIONAL ADVERSE PATIENT EFFECTS OR PRODUCT PERFORMANCE ISSUES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
903985 MEDTRONIC TRANSCATHETER VALVE AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIV NPT MEDTRONIC HEART VALVES DIVISION MDT-TRANS VALVE

Patients

Seq Age Sex Outcome Treatment
1 78 YR Male Life Threatening| R