MEDTRONIC TRANSCATHETER VALVE
Report
- Report Number
- 2025587-2022-01902
- Event Type
- Injury
- Date Received
- July 12, 2022
- Date of Event
- January 12, 2021
- Report Date
- July 12, 2022
- Manufacturer
- MEDTRONIC HEART VALVES DIVISION
- Product Code
- NPT
- PMA / PMN Number
- P130021
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
CITATION: PISANIELLO AD, ET AL. LOW RATES OF PERMANENT PACING ARE OBSERVED FOLLOWING SELF-EXPANDING TRANSCATHETER AORTIC VALVE REPLACEMENT USING AN ANNULAR PLANE PROJECTION FOR DEPLOYMENT. CIRC CARDIOVASC INTERV. 2021 JAN;14(1):E009258. DOI: 10.1161/CIRCINTERVENTI ONS.120.009258. EPUB 2021 JAN 12. EARLIEST DATE OF PUBLISH USED FOR DATE OF EVENT. MEDTRONIC PRODUCTS REFERENCED: EVOLUT R (PMA# P130021, PRODUCT CODE NPT), EVOLUT PRO (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.
MEDTRONIC RECEIVED INFORMATION FROM A LITERATURE ARTICLE REGARDING PERMANENT PACEMAKER IMPLANTATION RATES FOLLOWING TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR) USING ANNULAR PLANE PROJECTION FOR DEPLOYMENT. ALL DATA WAS COLLECTED FROM A SINGLE CENTER. THE AUTHORS RETROSPECTIVELY ANALYZED 527 SUCCESSFUL TAVR IMPLANTS PERFORMED BETWEEN JANUARY 2013 AND AUGUST 2019. PATIENTS UNDERWENT TAVR WITH EITHER AN EDWARDS SAPIEN VALVE (N = 434) OR A MEDTRONIC EVOLUT R (N = 50) OR EVOLUT PRO VALVE (N = 43). NO UNIQUE DEVICE IDENTIFIER NUMBERS WERE PROVIDED. THE EVOLUT R/PRO PATIENTS WERE PREDOMINANTLY MALE WITH A MEAN AGE OF 79.6 YEARS. AMONG ALL EVOLUT R/PRO PATIENTS, ADVERSE EVENTS INCLUDED: PERMANENT PACEMAKER IMPLANTATION WITHIN 30 DAYS OF TAVR (EVOLUT R = 3 CASES, EVOLUT PRO = 1 CASE). THE INDICATION FOR PERMANENT PACING WAS COMPLETE HEART BLOCK OR SLOW ATRIAL FIBRILLATION. OTHER ADVERSE EVENTS OBSERVED: VALVE-IN-VALVE IMPLANTATION FOR AN UNKNOWN REASON, NEW LEFT BUNDLE BRANCH BLOCK, AND MODERATE AORTIC REGURGITATION. NO ADDITIONAL ADVERSE PATIENT EFFECTS OR PRODUCT PERFORMANCE ISSUES WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 700535 | MEDTRONIC TRANSCATHETER VALVE | AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIV | NPT | MEDTRONIC HEART VALVES DIVISION | MDT-TRANS VALVE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 80 YR | Male | Required Intervention |