CARPENTIER-EDWARDS BIOPROSTHETIC VALVED CONDUIT
Report
- Report Number
- 2015691-2013-20142
- Event Type
- Injury
- Date Received
- May 21, 2013
- Date of Event
- April 1, 2013
- Report Date
- April 23, 2013
- Manufacturer
- EDWARDS LIFESCIENCES
- Product Code
- DYE
- PMA / PMN Number
- P870056/S006
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER
Narratives
DEVICE NOT RETURNED. LATE PROSTHETIC VALVE ENDOCARDITIS, OCCURRING MORE THAN 60 DAYS AFTER SURGERY, IS USUALLY CAUSED BY AN INFECTION WHICH OCCURS ELSEWHERE IN THE BODY, AND THEN SEEDS THE VALVE. THE MOST FREQUENT CAUSES ARE DENTAL PROCEDURES, UROLOGICAL INFECTIONS AND INTERVENTIONS, AND INDWELLING CATHETERS. EDWARDS LIFESCIENCES HAS VALIDATED METHODS FOR STERILIZATION OF ALL DEVICES WHICH ENSURES PRODUCT STERILITY. THE SURGEON HAS INDICATED THAT THIS EVENT WAS NOT RELATED TO A MALFUNCTION OF THE EDWARDS VALVE. UNFORTUNATELY, THE EXPLANTED DEVICE WAS DISCARDED BY THE HOSPITAL; THEREFORE, THE ROOT CAUSE OF THIS EVENT COULD NOT BE CONFIRMED. NO FURTHER ACTIONS ARE POSSIBLE WITH THE AVAILABLE INFORMATION.
IN THIS CASE, IT WAS REPORTED THAT THE PULMONARY VALVE WAS EXPLANTED AFTER AN IMPLANT DURATION OF APPROXIMATELY 10 YEARS AND 6 MONTHS DUE TO ENDOCARDITIS WITH STENOSIS. PER THE OP REPORT, THIS PATIENT HAS HAD 2 EPISODES OF ENDOCARDITIS WITH STREPTOCOCCUS ALPHA HEMOLYTIC TREATED WITH 4 AND 8 WEEKS OF ANTIBIOTICS RESPECTIVELY. ECHO SHOWED PULMONARY STENOSIS. THE VENTRICULAR FUNCTION HAS REMAINED ADEQUATE. THEREFORE, PATIENT HAD REDO-PULMONARY VALVE REPLACEMENT WITH ANOTHER EDWARDS VALVED CONDUIT. POST-OP TRANSVERSE ESOPHAGEAL ECHO DEMONSTRATED GOOD REPAIR WITH A WIDELY PATENT RIGHT VENTRICULAR OUTFLOW TRACT AND ENTRY INTO BOTH PA BRANCHES. THE SURGEON ALSO NOTED THAT THERE WAS NO MALFUNCTION OF THE EXPLANTED VALVE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 224557 | CARPENTIER-EDWARDS BIOPROSTHETIC VALVED CONDUIT | REPLACEMENT HEART VALVE | DYE | EDWARDS LIFESCIENCES | 4300 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 31 YR | Hospitalization| L| R |