EVOQUE VALVE
Report
- Report Number
- 2015691-2026-14075
- Event Type
- Injury
- Date Received
- April 10, 2026
- Date of Event
- March 23, 2026
- Report Date
- May 18, 2026
- Manufacturer
- EDWARDS LIFESCIENCES
- Product Code
- NPW
- UDI-DI
- 00690103217469
- PMA / PMN Number
- P230013
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
THIS IS ONE OF TWO MANUFACTURER REPORTS BEING SUBMITTED FOR THE SAME EVENT. REFERENCE RELATED MANUFACTURER REPORT # 2015691 2026 13230. THE MANUFACTURER'S INVESTIGATION IS ONGOING AND A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETE.
EDWARDS RECEIVED NOTIFICATION OF A TRANSCATHETER TRICUSPID VALVE REPLACEMENT (TTVR) PROCEDURE INVOLVING THE EVOQUE SYSTEM. ONE MONTH POST INDEX PROCEDURE, A SECOND ATTEMPT TO IMPLANT AN EVOQUE WAS COMPLETED. AT FINAL POSITION OF THE VALVE POST DEPLOYMENT THE POSTERIOR DROPPED AND WAS NOTED TO BE LOW. THIS REQUIRED SNARING FROM IJ. A VALVE IN VALVE (VIV) WITH ANOTHER VALVE WAS THEN PERFORMED. FOLLOWING THE VIV, THE SNARE LASSO BECAME STUCK ON THE APICES. MILD AS COMMISSURAL PVL WAS PRESENT AFTER VIV, WITH NO CENTRAL REGURGITATION. THE PERCEIVED ROOT CAUSE OF THE EVENT WAS NOTED TO BE THE LACK OF LEAFLET ON POSTERIOR SIDE DUE TO PREVIOUS ENDOCARDITIS. THE PATIENT IS DOING WELL. DURING THE PROCEDURE, THE EP DID NOT WANT TO REMOVE THE PATIENT'S LEADS, SO LV ACCESS WAS GAINED FOR BACKUP WIRE TEMP PACING IF NEEDED DURING THE CASE WHICH DID NOT END UP BEING REQUIRED. DURING THE TIME OUT, CLINICAL DEVELOPMENT WAS CONSULTED. LEAFLET CAPTURE WAS CHALLENGING. THE LEAFLETS APPEARED CAPTURED EVEN THOUGH IMAGING WAS QUITE ROUGH. LIMITED LEAFLET TISSUE WAS PRESENT FROM THE 10 -12 O'CLOCK REGION IN THE SAX VIEW, A FINDING DISCUSSED IN ADVANCE AND REVIEWED WITH CLINICAL DEVELOPMENT. THIS PROMPTED PREPARATION FOR POTENTIAL SNARING AND VALVE IN VALVE INTERVENTION IF NEEDED AFTER RELEASE. THE ANCHORS WERE AT THE HINGE POINTS OF THE ANNULUS PRIOR TO FINAL VALVE RELEASE AND THE CASE PROCEEDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 429790 | EVOQUE VALVE | PERCUTANEOUSLY DELIVERED PROSTHESES AND TRICUSPID VALVES | NPW | EDWARDS LIFESCIENCES | 9850EV52US | 00690103217469 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |