FDA Adverse Event Injury Summary report: N

EDWARDS INSPIRIS RESILIA AORTIC VALVE

MDR report key: 20980949 · Received December 19, 2024

Report

Report Number
2015691-2024-09806
Event Type
Injury
Date Received
December 19, 2024
Report Date
February 19, 2026
Manufacturer
EDWARDS LIFESCIENCES
Product Code
LWR
PMA / PMN Number
P150048
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDED INFORMATION TO B5, B6, B7, G2, AND H6. FULL CITATION: KITANO T, TANIGUCHI T, EHARA N, NAKANE T, ESAKI J, FURUKAWA Y. EMERGENT TRANSCAROTID TRANSCATHETER AORTIC VALVE-IN-VALVE IMPLANTATION IN DEGENERATIVE INSPIRIS RESILIA AORTIC VALVE. CARDIOVASC INTERV THER. 2025 DEC 3. DOI: 10.1007/S12928-025-01212-8. EPUB AHEAD OF PRINT. PMID: 41335392.

Additional Manufacturer Narrative · 0

THE DEVICE WAS NOT RETURNED TO EDWARDS FOR EVALUATION AS IT REMAINS IMPLANTED. THE INVESTIGATION IS STILL IN PROGRESS; THEREFORE, A CONCLUSION HAS YET TO BE ESTABLISHED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED ACCORDINGLY UPON INVESTIGATION COMPLETION. EDWARDS WILL CONTINUE TO REVIEW AND MONITOR ALL EVENTS. TRENDS ARE MONITORED ON A MONTHLY BASIS AND IF ACTION IS REQUIRED, APPROPRIATE INVESTIGATION WILL BE PERFORMED.

Additional Manufacturer Narrative · 0

CALCIFIC DEGENERATION INVOLVES THE GRADUAL ACCUMULATION OF CALCIUM DEPOSITS ON THE VALVE LEAFLETS. IT IS A DISEASE CONTINUUM FROM SCLEROSIS TO CHRONIC INFLAMMATION THAT LEADS TO LEAFLET CALCIFICATION. THESE CALCIUM DEPOSITS, OVER TIME, CAUSE THE LEAFLETS TO BECOME RIGID AND LESS FLEXIBLE, WHICH CAN ACCOUNT FOR FAILURE MODES SUCH AS STENOSIS AND REGURGITATION. SVD IS A LOGICAL AND EXPECTED CONSEQUENCE OF THE CHEMICAL, MECHANICAL, AND IMMUNOLOGICAL PROCESSES ASSOCIATED WITH BHV IMPLANTATION. THE COMMON ENDPOINT OF ALL THESE FACTORS IS CALCIFICATION AND DEGRADATION. PRIOR INVESTIGATIONS AND EXTENSIVE LITERATURE REVIEW HAVE SHOWN THAT SVD IS PREDOMINANTLY RELATED TO PATIENT FACTORS AND IMPLANT DURATION RATHER THAN TO MANUFACTURING ISSUES. EVENTS RELATED TO DEVICE DESIGN, MANUFACTURING, OR USE ERROR TEND TO MANIFEST AT AN EARLIER IMPLANT DURATION. A DHR REVIEW IS UNABLE TO BE PERFORMED BECAUSE NO LOT/SERIAL NUMBER WAS PROVIDED. THERE IS NO ALLEGATION OF A MALFUNCTION WHICH COULD BE RELATED TO A MANUFACTURING NON-CONFORMANCE AND/OR ONE WAS NOT SUSPECTED OR CONFIRMED THROUGH INVESTIGATION; NO LABELING NON-CONFORMANCE/DEFICIENCY; NO USE-RELATED ISSUE WITH A HAZARDOUS SITUATION; NO DEVICE-RELATED INFECTION; AND NO EVIDENCE OF A PRODUCT FAILURE WITH REGARD TO DESIGN, RELIABILITY, OR USE ERROR. THE MOST LIKELY CAUSE IS PATIENT FACTORS, INCLUDING DIALYSIS.

Additional Manufacturer Narrative · 0

ADDED INFORMATION TO H6. CALCIFIC DEGENERATION INVOLVES THE GRADUAL ACCUMULATION OF CALCIUM DEPOSITS ON THE VALVE LEAFLETS. IT IS A DISEASE CONTINUUM FROM SCLEROSIS TO CHRONIC INFLAMMATION THAT LEADS TO LEAFLET CALCIFICATION. THESE CALCIUM DEPOSITS, OVER TIME, CAUSE THE LEAFLETS TO BECOME RIGID AND LESS FLEXIBLE, WHICH CAN ACCOUNT FOR FAILURE MODES SUCH AS STENOSIS AND REGURGITATION. SVD IS A LOGICAL AND EXPECTED CONSEQUENCE OF THE CHEMICAL, MECHANICAL, AND IMMUNOLOGICAL PROCESSES ASSOCIATED WITH BHV IMPLANTATION. THE COMMON ENDPOINT OF ALL THESE FACTORS IS CALCIFICATION AND DEGRADATION. PRIOR INVESTIGATIONS AND EXTENSIVE LITERATURE REVIEW HAVE SHOWN THAT SVD IS PREDOMINANTLY RELATED TO PATIENT FACTORS AND IMPLANT DURATION RATHER THAN TO MANUFACTURING ISSUES. EVENTS RELATED TO DEVICE DESIGN, MANUFACTURING, OR USE ERROR TEND TO MANIFEST AT AN EARLIER IMPLANT DURATION. THE INSTRUCTIONS FOR USE (IFU) HAVE BEEN REVIEWED AND NO INADEQUACIES HAVE BEEN IDENTIFIED WITH REGARD TO WARNINGS, CONTRAINDICATIONS, AND THE DIRECTIONS/CONDITIONS FOR THE SUCCESSFUL USE OF THE DEVICE. THE REPORTED TYPE OF EVENT IS INCLUDED IN THE IFU. A DHR REVIEW IS UNABLE TO BE PERFORMED BECAUSE SERIAL NUMBER REMAINS UNKNOWN. THE MOST LIKELY CAUSE IS PATIENT FACTORS, INCLUDING DIALYSIS.

Description of Event or Problem · 0

IT WAS REPORTED AND LEARNED THROUGH THE REVIEW OF THE LITERATURE EMERGENT TRANSCAROTID TRANSCATHETER AORTIC VALVE-IN-VALVE IMPLANTATION IN DEGENERATIVE INSPIRIS RESILIA AORTIC VALVE, DECEMBER 03, 2025, BY TAIKI KITANO, TOMOHIKO TANIGUCHI, NATSUHIKO EHARA, TAKEICHIRO NAKANE, JIRO ESAKI, YUTAKA FURUKAWA. IT WAS LEARNED THAT A PATIENT WITH A 21MM 11500AJ AORTIC VALVE UNDERWENT A VALVE-IN-VALVE PROCEDURE AFTER AN IMPLANT DURATION OF APPROXIMATELY FIVE (5) YEARS DUE TO SEVERE STRUCTURAL VALVE DETERIORATION, SIGNIFICANT LEAFLET CALCIFICATION, AND SEVERE AORTIC STENOSIS. THE PATIENT PRESENTED WITH CLASS IV NYHA HEART FAILURE. THE TAVR PROCEDURE WAS PERFORMED WITH A 23MM SAPIEN3 ULTRA RESILIA VALVE SUCCESSFULLY. THE PATIENT OUTCOME WAS REPORTED AS RECOVERED. THE DOCTOR BELIEVES THAT BEING ON DIALYSIS FOR END-STAGE KIDNEY DISEASE HAS LED TO LEAFLET DEGENERATION AND CALCIFICATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT WITH A 21MM 11500AJ AORTIC VALVE UNDERWENT A VALVE-IN-VALVE PROCEDURE AFTER AN IMPLANT DURATION OF APPROXIMATELY FIVE (5) YEARS DUE TO AORTIC STENOSIS, STRUCTURAL VALVE DETERIORATION, AND LEAFLET CALCIFICATION. THE PATIENT EXPERIENCED DIFFICULTY UNDERGOING DIALYSIS AND PRESENTED WITH DYSPNEA. THE TAVR PROCEDURE WAS PERFORM WITH A 23MM SAPIEN3 ULTRA RESILIA VALVE SUCCESSFULLY. THE PATIENT IS IN THE HOSPITAL WITH STABLE CONDITION. PATIENT OUTCOME WAS REPORTED AS UNDER TREATMENT. THERE WAS NO ALLEGATION OF DEVICE MALFUNCTION. THE DOCTOR COMMENTED THAT HE BELIEVED THAT LEAFLET DEGENERATION DUE TO CALCIFICATION LED TO THE EVENT BECAUSE THE PATIENT WAS UNDERGOING DIALYSIS.

Description of Event or Problem · 0

IT WAS REPORTED AND LEARNED THROUGH THE REVIEW OF THE LITERATURE EMERGENT TRANSCAROTID TRANSCATHETER AORTIC VALVE-IN-VALVE IMPLANTATION IN DEGENERATIVE INSPIRIS RESILIA AORTIC VALVE, (B)(6) 2025, BY (B)(6). IT WAS LEARNED THAT A PATIENT WITH A 21MM 11500AJ AORTIC VALVE UNDERWENT A VALVE-IN-VALVE PROCEDURE AFTER AN IMPLANT DURATION OF APPROXIMATELY FIVE (5) YEARS DUE TO SEVERE STRUCTURAL VALVE DETERIORATION, SIGNIFICANT LEAFLET CALCIFICATION AND SEVERE AORTIC STENOSIS. THE PATIENT PRESENTED WITH CLASS IV NYHA HEART FAILURE. THE TAVR PROCEDURE WAS PERFORM WITH A 23MM SAPIEN3 ULTRA RESILIA VALVE SUCCESSFULLY. THE PATIENT OUTCOME WAS REPORTED AS RECOVERED. THE DOCTOR BELIEVES THAT BEING ON DIALYSIS FOR END-STAGE KIDNEY DISEASE HAS LED TO LEAFLET DEGENERATION AND CALCIFICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
434197 EDWARDS INSPIRIS RESILIA AORTIC VALVE HEART-VALVE, NON-ALLOGRAFT TISSUE LWR EDWARDS LIFESCIENCES 11500AJ21 NA

Patients

Seq Age Sex Outcome Treatment
1 86 YR Unknown Life Threatening| H| R