FDA Adverse Event Injury Summary report: N

EVOQUE TRICUSPID VALVE REPLACEMENT SYSTEM

MDR report key: 20689164 · Received November 14, 2024

Report

Report Number
2015691-2024-08640
Event Type
Injury
Date Received
November 14, 2024
Date of Event
October 24, 2024
Report Date
February 12, 2025
Manufacturer
EDWARDS LIFESCIENCES
Product Code
NPW
UDI-DI
00690103212846
PMA / PMN Number
P230013
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE COMPLAINT FOR VALVE INTERACTS WITH CONDUCTION SYSTEM WAS CONFIRMED WITH OTHER EMPIRICAL EVIDENCE VIA INFORMATION PROVIDED BY EDWARDS CLINICAL SPECIALIST. THE REPORTED CONDUCTION DISTURBANCE DOES NOT ALLEGE A MALFUNCTION THAT COULD BE RELATED TO AN EDWARDS MANUFACTURING DEFICIENCY. THE EVENT DOES NOT ALLEGE A LABELING ISSUE OR DEVICE RELATED INFECTION; THEREFORE, NO DHR, LOT HISTORY REVIEW, OR MANUFACTURING MITIGATIONS REVIEW ARE REQUIRED. SINCE NO MANUFACTURING NON-CONFORMANCES WERE FOUND AND NO LABELING, TRAINING, OR IFU DEFICIENCIES WERE IDENTIFIED, NO PREVENTATIVE OR CORRECTIVE ACTIONS WERE REQUIRED.

Additional Manufacturer Narrative · 0

THE EVENT IS CAPTURED BY EDWARDS LIFESCIENCES UNDER COMPLAINT#: (B)(4). THE MANUFACTURER'S INVESTIGATION IS ONGOING AND A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative · 0

THE FOLLOWING SECTIONS WERE UPDATED/CORRECTED/ADDED: B4, B5, B7, G3, G6, H2, H6 AND H11.

Description of Event or Problem · 0

AS REPORTED BY THE EDWARDS LIFESCIENCES AFFILIATE IN AUSTRIA, A PATIENT RECEIVED AN EVOQUE VALVE IN TRICUSPID POSITION WHERE THE VALVE WAS SUCCESSFULLY IMPLANTED WITH VALVE DEPLOYMENT POSITION IN ALL PLANES 0-5MM ON ANNULAR LEVEL. DIRECTLY AFTER VALVE RELEASE, THE PATIENT HAD BRADYARRHYTHMIA ABSOLUTA WITH ALREADY EXISTING ATRIAL FIBRILLATION. TEMPORARY RIGHT VENTRICULAR (RV) PACEMAKER LEAD IMPLANTATION THROUGH EVOQUE VALVE. ON POST-OPERATIVE (POD) 1, A PERMANENT PACEMAKER WAS SUCCESSFULLY IMPLANTED.

Description of Event or Problem · 0

AS REPORTED BY THE EDWARDS LIFESCIENCES AFFILIATE IN AUSTRIA, A PATIENT RECEIVED AN EVOQUE VALVE IN TRICUSPID POSITION WHERE THE VALVE WAS SUCCESSFULLY IMPLANTED WITH VALVE DEPLOYMENT POSITION IN ALL PLANES 0-5MM ON ANNULAR LEVEL. DIRECTLY AFTER VALVE RELEASE, THE PATIENT HAD BRADYARRHYTHMIA ABSOLUTA AND A THIRD DEGREE AV BLOCK WITH ALREADY EXISTING ATRIAL FIBRILLATION. TEMPORARY RIGHT VENTRICULAR (RV) PACEMAKER LEAD IMPLANTATION THROUGH EVOQUE VALVE. ON POST-OPERATIVE (POD) 1, A PERMANENT PACEMAKER WAS SUCCESSFULLY IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2285418 EVOQUE TRICUSPID VALVE REPLACEMENT SYSTEM PERCUTANEOUSLY DELIVERED PROSTHESES AND TRICUSPID VALVES NPW EDWARDS LIFESCIENCES 9850EV52 00690103212846

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention