FDA Adverse Event Injury Summary report: N

DURAN ANCORE RING

MDR report key: 1933797 · Received December 13, 2010

Report

Report Number
2025587-2010-00160
Event Type
Injury
Date Received
December 13, 2010
Report Date
December 3, 2010
Manufacturer
MEDTRONIC HEART VALVES, INC.
Product Code
KRH
PMA / PMN Number
K032810
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4): EVAL METHOD - DEVICE HISTORY COULD NOT BE REVIEWED AS NO SERIAL NUMBER WAS REPORTED. RESULTS: NO PRODUCT WAS RETURNED. CONCLUSION: CAUSE OF EVENT CANNOT BE DETERMINED. ANALYSIS - NO PRODUCT WAS RETURNED. CONCLUSION: WITHOUT THE RETURN OF THE PRODUCT, NO DEFINITIVE CONCLUSION CAN BE MADE REGARDING THE CLINICAL OBSERVATION. REDUCED PERFORMANCE OF THE VALVE IS ATTRIBUTED TO HOST TISSUE OVERGROWTH. THESE FINDINGS ARE GENERALLY CONSIDERED A PT RELATED CONDITION.

Description of Event or Problem · 1

MEDTRONIC RECEIVED INFO THROUGH A CASE REPORT IN A JOURNAL ARTICLE (ANN THORAC SURG 2010; 90: E93-4) THAT A 25-MM DURAN FLEXIBLE RING WAS EXCISED 7 YEARS AFTER IMPLANT DURING A REOPERATION TO REPAIR MITRAL STENOSIS AND TRICUSPID REGURGITATION. THE RING WAS ORIGINALLY IMPLANTED IN A PT WITH DEGENERATIVE MITRAL REGURGITATION. SEVEN YEARS LATER, THE PT PRESENTED WITH MODERATE DYSPNEA ON EXERTION. INTRAOPERATIVE TRANS-ESOPHAGEAL ECHOCARDIOGRAPHY (TEE) SHOWED NO MITRAL REGURGITATION, MILD TRICUSPID REGURGITATION AND MODERATE PULMONARY HYPERTENSION. OPERATIVE FINDINGS SHOWED PANNUS OVERGROWTH OF THE ANNULOPLASTY RING, WHICH HAD NARROWED THE MITRAL ORIFICE. THE RING AND PANNUS WERE REMOVED WITHOUT DAMAGE TO THE VALVE LEAFLET. COMMISSURAL FUSION, DUE TO THE PANNUS, WAS CORRECTED BY COMMISSUROTOMY. TRICUSPID ANNULOPLASTY WAS PERFORMED CONCOMITTANTLY. THERE WERE NO ADVERSE PT EFFECTS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DURAN ANCORE RING KRH MEDTRONIC HEART VALVES, INC. 620R NA

Patients

Seq Age Sex Outcome Treatment
1 64 YR Required Intervention