FDA Adverse Event Injury Summary report: N

MEDTRONIC TRANSCATHETER VALVE

MDR report key: 14988261 · Received July 12, 2022

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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