FDA Adverse Event Injury Summary report: N

EDWARDS SAPIEN TRANSCATHETER HEART VALVE

MDR report key: 3092033 · Received May 3, 2013

Report

Report Number
2015691-2013-19984
Event Type
Injury
Date Received
May 3, 2013
Date of Event
April 9, 2013
Report Date
April 9, 2013
Manufacturer
EDWARDS LIFESCIENCES
Product Code
NPT
PMA / PMN Number
P110021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

AS REPORTED PER THE EDWARDS FIELD CLINICAL SPECIALIST (FCS), DURING A TRANSFEMORAL TAVR PROCEDURE THE VALVE DEPLOYED 80:20 AORTIC, WITH 2-3+ CENTRAL AORTIC REGURGITATION (CAI). THE DIASTOLIC BP WAS DECREASING, WHICH WAS INDICATIVE OF THE SEVERE CAI. IT WAS DETERMINED THAT A SECOND 26MM SAPIEN WAS APPROPRIATE FOR PLACEMENT, WHICH WAS DEPLOYED IN THE 60:40 AORTIC POSITION. THE AORTIC REGURGITATION RESOLVED TO MILD. THE PATIENT'S DIASTOLIC BP INCREASED WITHIN NORMAL LIMITS. ADDITIONAL INFORMATION REVEALED THE PATIENT HAD BULKY VALVE/LEAFLET CALCIFICATION, AND NO AORTIC ROOT CALCIFICATION. THERE WAS GOOD COAXIAL ALIGNMENT OF THE VALVE AND DELIVERY SYSTEM, AND GOOD IMAGE INTENSIFIER ANGLE. THERE WAS NO LOSS OF PACING CAPTURE. VENTILATION WAS NOT HELD. THE PRE-DEPLOYMENT POSITION WAS CONSIDERED 50:50.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
194029 EDWARDS SAPIEN TRANSCATHETER HEART VALVE AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIVERED NPT EDWARDS LIFESCIENCES 9000TFX26 3277442

Patients

Seq Age Sex Outcome Treatment
1 88 YR Required Intervention