FDA Adverse Event Injury Summary report: N

CARPENTIER-EDWARDS PERIMOUNT RSR PERICARDIAL BIOPROSTHESIS

MDR report key: 3061974 · Received April 16, 2013

Report

Report Number
2015691-2013-19828
Event Type
Injury
Date Received
April 16, 2013
Date of Event
March 18, 2013
Report Date
March 18, 2013
Manufacturer
EDWARDS LIFESCIENCES
Product Code
DYE
PMA / PMN Number
P860057/S001
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

IMPLANTATION OF A TRANSCATHETER HEART VALVE INSIDE A DEGENERATED ONE IS A LESS INVASIVE PROCEDURE TO TREAT VALVULAR DISEASE. STENOSIS OF AN BIOPROSTHETIC VALVES IS DEPENDENT ON BOTH PATIENT FACTORS AND INTRINSIC PROPERTIES OF BIOPROSTHETIC VALVES. WITHOUT RETURN OF DEVICE, THE NATURE OF THE REPORTED STENOSIS LEADING TO THIS EXPLANT CANNOT BE IDENTIFIED OR EVALUATED. STENOSIS MAY BE DUE TO CALCIFIC TISSUE DEGENERATION, NON CALCIFIC TISSUE DEGENERATION, AND/OR NON-STRUCTURAL DYSFUNCTION. THE PROVIDED INFORMATION SUGGESTS NOTHING TO INDICATE A DEVICE QUALITY DEFICIENCY THAT MAY HAVE CAUSED OR CONTRIBUTED TO THIS EVENT.

Description of Event or Problem · 1

IT WAS REPORTED TO SALES THAT A PATIENT WITH AN EDWARDS AORTIC BIOPROSTHETIC VALVE WAS DIAGNOSED WITH AORTIC STENOSIS AFTER AN IMPLANT DURATION OF APPROXIMATELY 14 YEARS, AND UNDERWENT AN IMPLANT OF A TRANSCATHETER VALVE INSIDE THE FAILING ONE. RECORDS INDICATE THE PATIENT WAS HEMODYNAMICALLY STABLE AT THE END OF THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
162368 CARPENTIER-EDWARDS PERIMOUNT RSR PERICARDIAL BIOPROSTHESIS REPLACEMENT HEART VALVE DYE EDWARDS LIFESCIENCES 2800

Patients

Seq Age Sex Outcome Treatment
1 89 YR Hospitalization| L