MOSAIC AORTIC BIOPROSTHETIC HEART VALVE
Report
- Report Number
- 2025587-2024-05296
- Event Type
- Injury
- Date Received
- September 23, 2024
- Date of Event
- March 31, 2024
- Report Date
- September 23, 2024
- Manufacturer
- MEDTRONIC HEART VALVES DIVISION
- Product Code
- DYE
- PMA / PMN Number
- P990064
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
CITATION: HLAVICKA ET AL. MINIMALLY INVASIVE AND FULL STERNOTOMY AORTIC VALVE REPLACEMENTS LEAD TO COMPARABLE LONG-TERM OUTCOMES IN ELDERLY HIGHER-RISK PATIENTS: A PROPENSITY-MATCHED COMPARISON. JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE 11(4):112 2024. DO I.ORG/10.3390/JCDD11040112. EARLIEST DATE OF PUBLICATION USED FOR DATE OF EVENT. 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. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
LITERATURE WAS REVIEWED REGARDING LONG-TERM OUTCOMES IN ELDERLY HIGH RISK PATIENTS UNDERGOING MINIMALLY INVASIVE OR FULL STERNOTOMY AORTIC VALVE REPLACEMENT. THE STUDY POPULATION INCLUDED 441 PATIENTS WHO WERE PREDOMINANTLY FEMALE WITH A MEAN AGE OF 74 YEARS OLD. MULTIPLE MANUFACTURER¿S DEVICES WERE IMPLANTED IN THE STUDY POPULATION; 66 PATIENTS WERE IMPLANTED WITH A MEDTRONIC MOSAIC BIOPROSTHETIC VALVE. DEATHS OCCURRED IN THE STUDY POPULATION; HOWEVER, THERE WAS NO STATEMENT ESTABLISHING A CAUSAL OR CONTRIBUTORY RELATIONSHIP BETWEEN MEDTRONIC PRODUCT AND THE DEATHS. AMONG ALL PATIENTS, ADVERSE EVENTS INCLUDED: CARDIAC TAMPONADE, STROKE, BLEEDING COMPLICATION, COMPLETE HEART BLOCK OR OTHER ARRHYTHMIA REQUIRING PERMANENT PACEMAKER IMPLANT, RENAL FAILURE REQUIRING HEMODIALYSIS, LOW CARDIAC OUTPUT, UNSPECIFIED STRUCTURAL VALVE DYSFUNCTION, THROMBOSIS, THROMBO-EMBOLIC EVENT AT 8 YEARS POST-IMPLANT, AND PROSTHETIC VALVE ENDOCARDITIS AT 12 YEARS POST-IMPLANT. NO FURTHER INFORMATION WAS PROVIDED PERTAINING TO MEDTRONIC PRODUCTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1869273 | MOSAIC AORTIC BIOPROSTHETIC HEART VALVE | REPLACEMENT HEART-VALVE | DYE | MEDTRONIC HEART VALVES DIVISION | 30519 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 74 YR | Female | Life Threatening| R| H |