EVOLUT PRO PLUS VALVE
Report
- Report Number
- 2025587-2022-01907
- Event Type
- Death
- Date Received
- July 12, 2022
- Date of Event
- February 25, 2022
- 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
- MA, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
CITATION: HAOUZI A.; ET AL. CLINICAL MANAGEMENT OF CONDUCTION ABNORMALITIES FOLLOWING TRANSCATHETER AORTIC VALVE REPLACEMENT: PROSPE CTIVE EVALUATION OF A STANDARDIZED MANAGEMENT PATHWAY. J INTERV CARD ELECTROPHYSIOL. 2022; 64(1): 195¿202. DOI: 10.1007/S10840-022-01156-6. PMID: 35212830. PUBLISHED ONLINE 2022 FEB 25. EARLIEST DATE OF PUBLICATION USED FOR DATE OF EVENT AND DATE OF DEATH. MEDTRONIC PRODUCTS REFERENCED: 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 VIA LITERATURE REGARDING A CLINICAL MANAGEMENT PATHWAY FOR CARDIAC CONDUCTION ABNORMALITIES AFTER TRANSCATHETER AORTIC VALVE REPLACEMENT (TAVR). ALL DATA WERE PROSPECTIVELY COLLECTED FROM A SINGLE CENTER BETWEEN FEBRUARY 2020 AND FEBRUARY 2021. THE STUDY POPULATION INCLUDED 181 PATIENTS WITHOUT PRIOR PACEMAKER IMPLANTS WHO WERE PREDOMINANTLY FEMALE WITH A MEAN AGE OF 78 YEARS. MULTIPLE MANUFACTURER¿S DEVICES WERE IMPLANTED IN THE STUDY POPULATION. AMONG ALL PATIENTS, 45 WERE IMPLANTED WITH MEDTRONIC EVOLUT PRO+ BIOPROSTHETIC VALVES (UNIQUE DEVICE IDENTIFIER NUMBERS NOT PROVIDED). AMONG ALL PATIENTS, SEVEN DEATHS OCCURRED BY ONE-MONTH POST-TAVR. IT WAS NOTED THE DEATHS WERE NOT DUE TO SYNCOPE, CARDIAC CONDUCTION ABNORMALITIES NOR NEED FOR PACEMAKER IMPLANTATION, BUT DUE TO POST-TAVR-RELATED VASCULAR COMPLICATIONS. BASED ON THE AVAILABLE INFORMATION MEDTRONIC PRODUCT MAY HAVE BEEN ASSOCIATED WITH THE DEATHS. AMONG TWO PATIENTS WHO RECEIVED MEDTRONIC EVOLUT PRO+ BIOPROSTHETIC VALVES, ADVERSE EVENTS INCLUDED: COMPLETE HEART BLOCK DURING TAVR REQUIRING IMMEDIATE PERMANENT PACEMAKER IMPLANTATION (PPMI). 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 |
|---|---|---|---|---|---|---|---|
| 652003 | EVOLUT PRO PLUS VALVE | AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIV | NPT | MEDTRONIC HEART VALVES DIVISION | EVPROPLUS-23US |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 78 YR | Female | Death| L| R |