FDA Adverse Event Malfunction Summary report: N

EVOLUT FX PLUS VALVE

MDR report key: 24223619 · Received January 30, 2026

Report

Report Number
9617601-2026-00808
Event Type
Malfunction
Date Received
January 30, 2026
Date of Event
January 23, 2026
Report Date
May 28, 2026
Manufacturer
MEDTRONIC MEXICO S. DE R.L. DE CV
Product Code
NPT
UDI-DI
00763000920432
PMA / PMN Number
P130021
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SELECT PATIENT INFORMATION CANNOT BE INCLUDED IN THE REGULATORY REPORT DUE TO REGIONAL PRIVACY REGULATIONS. 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.

Additional Manufacturer Narrative · 0

PRODUCT ANALYSIS: UPON RECEIPT OF THE SUSPECT COMPLAINT DEVICE AT MEDTRONIC¿S QUALITY LABORATORY, VISUAL ANALYSIS SHOWED THE DEVICE WAS RETURNED IN ITS ORIGINAL OUTER PACKAGING AND WITHIN ITS ORIGINAL PACKAGING JAR. THE JAR WAS RECEIVED WITH THE YELLOW SAFETY BROKEN, AND THE DEVICE FULL SUBMERGED IN SOLUTION. UPON OPENING THE JAR, AMBER-COLORED PARTICULATE MATTER WAS OBSERVED WITHIN THE SOLUTION. ADDITIONAL AMBER-COLORED PARTICULATES WERE NOTED ON THE INFLOW ASPECT OF THE VALVE. FOLLOWING REMOVAL OF THE VALVE FROM THE JAR, MULTIPLE, AMBER-COLORED PARTICULATES WERE OBSERVED ALONG THE OUTFLOW CROWN OF THE FRAME. BASED ON THE VISUAL APPEARANCE, THE OBSERVED PARTICULATES ARE CONSISTENT WITH MATERIAL TYPES THAT HAVE HISTORICALLY BEEN ASSOCIATED WITH RESIDUE FROM THE AMINO-OLEIC ACID (AOA) TREATMENT PROCESS; HOWEVER, NO ANALYTICAL TESTING WAS PERFORMED AS PART OF THIS EVALUATION, AND THE ORIGIN OF THE PARTICULATES WAS NOT CONFIRMED. UPDATED H.6 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHEN REMOVING THE TRANSCATHETER AORTIC VALVE EVFXPLUS-29, RED RESIDUE WAS SEEN ON THE STENT FRAME AND ON THE LE AFLETS. SUBSEQUENTLY, A NEW VALVE WAS USED AND SUCCESSFULLY IMPLANTED. THERE WAS NO PATIENT INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
470088 EVOLUT FX PLUS VALVE AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIV NPT MEDTRONIC MEXICO S. DE R.L. DE CV EVFXPLUS-29 00763000920432

Patients

Seq Age Sex Outcome Treatment
1