FDA Adverse Event Death Summary report: N

MEDTRONIC TRANSCATHETER VALVE

MDR report key: 13796790 · Received March 17, 2022

Report

Report Number
2025587-2022-00705
Event Type
Death
Date Received
March 17, 2022
Date of Event
September 27, 2021
Report Date
March 17, 2022
Manufacturer
MEDTRONIC HEART VALVES DIVISION
Product Code
NPT
PMA / PMN Number
P130021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CITATION: BAPAT V., ET AL. SURGICAL EXPLANTATION AFTER TAVR FAILURE: MID-TERM OUTCOMES FROM THE EXPLANT-TAVR INTERNATIONAL REGISTRY. JACC CARDIOVASC INTERV. 2021 SEP 27;14(18):1978-1991. DOI: 10.1016/J.JCIN.2021.07.015. PMID: 34556271. PUBLISHER: JACC CARDIOVASC IN TERV EARLIEST DATE OF PUBLISH USED FOR DATE OF EVENT AND DATE OF DEATH. MEDTRONIC PRODUCTS REFERENCED: COREVALVE, EVOLUT R, EVOLUT PRO/PRO+ (PMA# (B)(4), PRODUCT CODE: NPT); ENGAGER (PMA# N/A, PRODUCT CODE: N/A). 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 VIA LITERATURE REGARDING THE INDICATIONS AND OUTCOMES AFTER SURGICAL EXPLANTATION OF TRANSCATHETER AORTIC VALVE REPLACEMENTS (TAVR). ALL DATA WERE COLLECTED FROM AN INTERNATIONAL MULTI-CENTER CLINICAL REGISTRY BETWEEN NOVEMBER 2009 AND SEPTEMBER 2020. THE STUDY POPULATION INCLUDED 269 PATIENTS (PREDOMINANTLY MALE, MEAN AGE (B)(6) YEARS), 110 OF WHOM UNDERWENT PRIOR TAVR WITH VARIOUS MEDTRONIC SELF-EXPANDING TRANSCATHETER AORTIC BIOPROSTHETIC VALVES, INCLUDING COREVALVE, EVOLUT R, EVOLUT PRO/PRO+ AND ENGAGER MODELS (UNIQUE DEVICE IDENTIFIER NUMBERS NOT PROVIDED). AMONG ALL PATIENTS, IN-HOSPITAL, 30-DAY AND 1-YEAR POST-EXPLANT MORTALITY WAS 11.9%, 13.1% AND 28.5%, RESPECTIVELY. NO FURTHER DETAILS WERE PROVIDED. BASED ON THE AVAILABLE INFORMATION MEDTRONIC PRODUCT MAY HAVE BEEN ASSOCIATED WITH THE DEATHS. AMONG ALL PATIENTS, ADVERSE EVENTS INCLUDED: NEED FOR SURGICAL EXPLANTATION OF TAVR VALVES, STROKES, ENDOCARDITIS, PARAVALVULAR LEAK (PVL), STRUCTURAL VALVE DEGENERATION (SVD), PATIENT-PROSTHESIS MISMATCH (PPM), UNFAVORABLE ANATOMY, VALVE MIGRATION, AORTIC/MITRAL REGURGITATION, MITRAL STENOSIS, DECOMPENSATED HEART FAILURE AND AORTIC ANEURYSMS. BASED ON THE AVAILABLE INFORMATION 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
731154 MEDTRONIC TRANSCATHETER VALVE AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIV NPT MEDTRONIC HEART VALVES DIVISION MDT-TRANS VALVE

Patients

Seq Age Sex Outcome Treatment
1 73 YR Male Death UNKNOWN ICD, UNKNOWN IPG