FDA Adverse Event Injury Summary report: N

GORE-TEX SUTURE

MDR report key: 3093905 · Received April 26, 2013

Report

Report Number
3003910212-2013-00009
Event Type
Injury
Date Received
April 26, 2013
Date of Event
January 12, 2011
Report Date
March 21, 2013
Manufacturer
W.L. GORE & ASSOCIATES
Product Code
GAW
PMA / PMN Number
P820083
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ADDITIONAL INFORMATION HAS BEEN REQUESTED FROM THE AUTHOR. THE CASE REPORT DOES NOT SPECIFY THE NUMBER OF SUTURES INVOLVED IN CREATING THE NEOCHORDAE IN THE INITIAL PROCEDURE. THE AUTHORS HYPOTHESIZE THAT THE SUTURE FAILURE IS LIKELY DUE TO INTRACARDIAC FORCES THAT EXCEED THE STRENGTH OF THE SUTURE RATHER THAN A STRUCTURAL CHANGE OF THE SUTURE LEADING TO A FAILURE. BASED ON THE LIMITED INFORMATION PROVIDED, A ROOT CAUSE HAS NOT BEEN DETERMINED. ALL INFORMATION HAS BEEN PLACED ON FILE FOR USE IN TRACKING, TRENDING AND FOLLOW-UP. CITATION: MICHAEL H. YAMASHITA, PETER L. SKARSGARD, INTERMEDIATE AND EARLY RUPTURE OF EXPANDED POLYTETRAFLUOROETHYLENE NEOCHORDAE AFTER MITRAL VALVE REPAIR. THE ANNALS OF THORACIC SURGERY 2011:92:341-343.

Description of Event or Problem · 1

A REVIEW OF THE ANNALS OF THORACIC SURGERY, (B)(6) 2011, REVEALED A CASE REPORT ENTITLED, "INTERMEDIATE AND EARLY RUPTURE OF EXPANDED POLYTETRAFLUOROETHYLENE NEOCHORDAE AFTER MITRAL VALVE REPAIR". THIS REPORT DESCRIBES A (B)(6) MALE PATIENT WITH SEVERE MITRAL REGURGITATION WITH PROLAPSE NECESSITATING MITRAL VALVE REPLACEMENT 6 MONTHS AFTER THE INITIAL REPAIR. THE AUTHORS NOTED THAT ALL OF THE CV-5 EPTFE NEOCHORDAE (GORE-TEX SUTURE) AND NATIVE CHORDAE WERE FOUND TO BE RUPTURED. THE VALVE REPLACEMENT WAS SUCCESSFUL AND AT 11 MONTHS POST-OP, THE PATIENT WAS FOUND TO HAVE A NORMAL FUNCTIONING PROSTHETIC MV AND GOOD LEFT VENTRICULAR FUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
181412 GORE-TEX SUTURE GAW/SUTURE, NONABSORBABLE, SYNTHETIC, POLYPROPYLENE GAW W.L. GORE & ASSOCIATES

Patients

Seq Age Sex Outcome Treatment
1 78 YR Required Intervention