FDA Adverse Event Injury Summary report: N

MITRACLIP

MDR report key: 22750225 · Received August 8, 2025

Report

Report Number
2135147-2025-04423
Event Type
Injury
Date Received
August 8, 2025
Date of Event
July 16, 2025
Report Date
August 29, 2025
Manufacturer
ABBOTT MEDICAL
Product Code
NKM
UDI-DI
05415067037343
PMA / PMN Number
P100009
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IN THIS CASE, THE REPORTED INCOMPLETE COAPTATION-INTRAPROCEDURE COULD NOT BE REPLICATED IN A TESTING ENVIRONMENT. A REVIEW OF THE LOT HISTORY RECORD IDENTIFIED NO MANUFACTURING NONCONFORMITIES ISSUED TO THE REPORTED LOT THAT WOULD HAVE CONTRIBUTED TO THE REPORTED EVENT. ADDITIONALLY, A REVIEW OF THE COMPLAINT HISTORY IDENTIFIED NO SIMILAR COMPLAINTS FROM THE LOT. ALL AVAILABLE INFORMATION WAS INVESTIGATED, AND THE REPORTED SLDA PER THE PHYSICIAN WAS RELATED TO PATIENT CONDITIONS (A BI-LEAFLET FLAIL AND PROLAPSED LEAFLETS). UNEXPECTED MEDICAL INTERVENTION WAS A RESULT OF CASE-SPECIFIC CIRCUMSTANCES. THERE IS NO INDICATION OF A PRODUCT ISSUE WITH RESPECT TO MANUFACTURE, DESIGN OR LABELING.

Additional Manufacturer Narrative · 0

THE DEVICE REMAINS IMPLANTED IN PATIENT. THE DEVICE WILL NOT BE RETURNED FOR EVALUATION. INVESTIGATION IS NOT YET COMPLETE. A FOLLOW-UP REPORT WILL BE SUBMITTED WITH ALL ADDITIONAL RELEVANT INFORMATION.

Description of Event or Problem · 0

IT WAS REPORTED ON (B)(6) 2025 A PATIENT PRESENTED WITH GRADE 4+ DEGENERATIVE MITRAL REGURGITATION (MR), A BI-LEAFLET FLAIL, AND PROLAPSED LEAFLETS FOR A MITRACLIP PROCEDURE. A MITRACLIP XTW WAS PLACED. UPON DEPLOYMENT A SINGLE LEAFLET DEVICE ATTACHMENT (SLDA) WAS OBSERVED. THE CLIP DETACHED FROM THE POSTERIOR LEAFLET AND REMAINED ATTACHED TO THE ANTERIOR LEAFLET. TWO ADDITIONAL MITRACLIPS WERE IMPLANTED LATERAL TO THE FIRST CLIP AND ONE MITRACLIP WAS IMPLANTED MEDIAL TO THE FIRST CLIP TO STABILIZE AND REDUCE MR. THE FINAL MR GRADE WAS 2+.

Description of Event or Problem · 0

IT WAS REPORTED ON (B)(6) 2025 A PATIENT PRESENTED WITH GRADE 4+ DEGENERATIVE MITRAL REGURGITATION (MR), A BI-LEAFLET FLAIL, AND PROLAPSED LEAFLETS FOR A MITRACLIP PROCEDURE. A MITRACLIP XTW WAS PLACED. UPON DEPLOYMENT A SINGLE LEAFLET DEVICE ATTACHMENT (SLDA) WAS OBSERVED. THE CLIP DETACHED FROM THE POSTERIOR LEAFLET AND REMAINED ATTACHED TO THE ANTERIOR LEAFLET. TWO ADDITIONAL MITRACLIPS WERE IMPLANTED LATERAL TO THE FIRST CLIP AND ONE MITRACLIP WAS IMPLANTED MEDIAL TO THE FIRST CLIP TO STABILIZE AND REDUCE MR. THE FINAL MR GRADE WAS 2+.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
227304 MITRACLIP MITRAL VALVE REPAIR DEVICES NKM ABBOTT MEDICAL CDS0707-XTW 50128R1107 05415067037343

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention