FDA Adverse Event Death Summary report: N

MEDTRONIC TRANSCATHETER VALVE

MDR report key: 14489590 · Received May 24, 2022

Report

Report Number
2025587-2022-01459
Event Type
Death
Date Received
May 24, 2022
Date of Event
April 21, 2022
Report Date
May 24, 2022
Manufacturer
MEDTRONIC HEART VALVES DIVISION
Product Code
NPT
PMA / PMN Number
P130021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CITATION: CLERFOND ET AL. HOW TO USE THE AORTIC VALVE CALCIUM SCORE TO IMPROVE THE RESULTS OF TRANSCATHETER AORTIC VALVE IMPLANTATION WITH A SELF-EXPANDING PROSTHESIS. ARCH CARDIOVASC DIS. 2022 APR 21;S1875-2136(22)00047-X. DOI: 10.1016/J.ACVD.2022.03.001. EARLIEST DATE OF PUBLICATION USED FOR DATE OF EVENT. MEDTRONIC PRODUCTS REFERENCED: EVOLUT R AND EVOLUT PRO. 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 AORTIC VALVE CALCIUM SCORE FOR TRANSCATHETER AORTIC VALVE IMPLANTATION (TAVI) WITH SELF-EXPANDING PROSTHESES. ALL DATA WERE COLLECTED FROM A SINGLE FRENCH CENTER BETWEEN JANUARY 2018 AND MARCH 2019. THE STUDY POPULATION INCLUDED 168 PATIENTS WHO WERE PREDOMINANTLY FEMALE WITH A MEAN AGE OF 82.1 YEARS. ALL PATIENTS WERE IMPLANTED WITH A MEDTRONIC EVOLUT R (N=79) OR EVOLUT PRO (N=89) BIOPROSTHETIC VALVE (UNIQUE DEVICE IDENTIFIER NUMBERS NOT PROVIDED). AMONG ALL PATIENTS, TWO PATIENTS DIED DURING THE HOSPITAL PHASE. ONE POLYPATHOLOGICAL PATIENT DIED AS A RESULT OF SEVERE LOW-OUTPUT LEFT VENTRICULAR DYSFUNCTION. A SECOND PATIENT DIED AS A RESULT OF FIBRINOLYZED STROKE COMPLICATED BY SUBARACHNOID HEMORRHAGE AND PERICARDIAL EFFUSION. NO FURTHER DETAILS WERE PROVIDED ON THESE DEATHS. BASED ON THE AVAILABLE INFORMATION MEDTRONIC PRODUCT WAS ASSOCIATED WITH THE DEATH(S). AMONG ALL PATIENTS, ADVERSE EVENTS INCLUDED: MODERATE TO SEVERE PARAVALVULAR LEAK (PVL), MODERATE AORTIC REGURGITATION (AR), CONDUCTION DISTURBANCE REQUIRING PERMANENT PACEMAKER, TAMPONADE, STROKE, VASCULAR COMPLICATION, BLEEDING COMPLICATION, AND CONVERSION TO SURGERY. BASED ON THE AVAILABLE INFORMATION MEDTRONIC PRODUCT WAS ASSOCIATED WITH THE ADVERSE EVENT(S). NO ADDITIONAL ADVERSE PATIENT EFFECTS OR PRODUCT PERFORMANCE ISSUES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
219375 MEDTRONIC TRANSCATHETER VALVE AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIV NPT MEDTRONIC HEART VALVES DIVISION MDT-TRANS VALVE

Patients

Seq Age Sex Outcome Treatment
1 82 YR Female Death| H| L