FDA Adverse Event Injury Summary report: N

CARPENTIER-EDWARDS PERIMOUNT MAGNA MITRAL PERICARDIAL BIOPROSTHESIS

MDR report key: 2912361 · Received January 11, 2013

Report

Report Number
2015691-2013-19095
Event Type
Injury
Date Received
January 11, 2013
Date of Event
December 3, 2012
Report Date
December 17, 2012
Manufacturer
EDWARDS LIFESCIENCES
Product Code
DYE
PMA / PMN Number
P860057/S029
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

METHOD: DEVICE NOT RETURNED. THE DEVICE HISTORY RECORD (DHR) REVIEW IS IN PROGRESS. THE DEVICE WILL NOT BE RETURNED FOR EVALUATION DUE TO THE PATIENT (B)(6) FOR (B)(6). PATIENT STATUS AT TIME OF REPORT WAS LISTED AS STABLE. NO PATIENT STATUS UPDATE HAS BEEN PROVIDED. TWO DEVICES WERE EXPLANTED IN THE SAME SURGERY -- MITRAL VALVE AND AORTIC VALVE -- FOR THE SAME REASON. SEE REPORT FOR S/N (B)(4). THE CUSTOMER REPORT INDICATES THAT AN OPERATIVE REPORT IS AVAILABLE; HOWEVER, IT HAS NOT BEEN PROVIDED. CALCIFICATION IS A WELL-RECOGNIZED FAILURE MODE OF BIOPROSTHETIC VALVES. THE MECHANISMS FOR BIOPROSTHETIC HEART VALVE TISSUE CALCIFICATION ARE NOT FULLY UNDERSTOOD. MANY FACTORS CAN CONTRIBUTE TO THE ONSET AND PROPAGATION OF CALCIFICATION INCLUDING PATIENT RELATED (E.G. PATIENT AGE, DISEASE STATE, IMMUNE STATUS, AND OTHER CO-MORBIDITIES), PHARMACOLOGICAL, AND INTRINSIC PROPERTIES OF THE VALVE ITSELF. IT IS WIDELY UNDERSTOOD THAT PATIENTS WITH CHRONIC RENAL DISEASE AND PRIOR HISTORY OF CALCIFIC STENOSIS OF THE NATIVE VALVE MAY BE PREDISPOSED TO BIOPROSTHETIC CALCIFICATION.

Additional Manufacturer Narrative · 1

THE DHR REVIEW WAS COMPLETED. THIS DEVICE PASSED ALL MANUFACTURING AND STERILIZATION INSPECTIONS WITH NO NONCONFORMANCE.

Description of Event or Problem · 1

REPORTEDLY, BOTH THE PATIENT'S MITRAL AND AORTIC VALVE WERE EXPLANTED AFTER AN IMPLANT DURATION OF 80.17 MONTHS (6 YEARS, 8 MONTHS) DUE TO STENOSIS. CUSTOMER REPORTED: SEVERE STENOSIS TO AORTIC AND MITRAL VALVE DUE TO CALCIFICATIONS. AT TIME OF REPORT, PATIENT CONDITION WAS REPORTED AS STABLE. DEVICES WILL NOT BE RETURNED DUE TO PATIENT (B)(6) FOR (B)(6). SEE REPORT FOR S/N (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
18022 CARPENTIER-EDWARDS PERIMOUNT MAGNA MITRAL PERICARDIAL BIOPROSTHESIS HEART-VALVE, REPLACEMENT DYE EDWARDS LIFESCIENCES 7000TFX 06B030

Patients

Seq Age Sex Outcome Treatment
1 59 YR Hospitalization| R