FDA Adverse Event Injury Summary report: N

CARPENTIER-EDWARDS PERIMOUNT THEON PERICARDIAL BIOPROSTHESIS

MDR report key: 3233788 · Received July 18, 2013

Report

Report Number
2015691-2013-20638
Event Type
Injury
Date Received
July 18, 2013
Date of Event
June 6, 2013
Report Date
June 21, 2013
Manufacturer
EDWARDS LIFESCIENCES
Product Code
DYE
PMA / PMN Number
P860057/S022
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THERE ARE SEVERAL POTENTIAL CAUSES FOR PROSTHETIC VALVE STENOSIS (E.G. CALCIFICATION, PANNUS GROWTH). UNFORTUNATELY, THE VALVE WAS NOT EXPLANTED FROM THE PATIENT; THEREFORE, THE ROOT CAUSE OF THIS EVENT COULD NOT BE INVESTIGATED. IN THIS CASE, THERE IS INSUFFICIENT INFORMATION TO CONCLUSIVELY DETERMINE THE ROOT CAUSE FOR THE REPORTED STENOSIS. NO FURTHER ACTIONS ARE POSSIBLE.

Description of Event or Problem · 1

IN THIS CASE, IT WAS REPORTED THAT THE PATIENT UNDERWENT VALVE-IN-VALVE (VIV) PROCEDURE IN AN EXISTING EDWARDS PROSTHETIC MITRAL VALVE, AFTER AN IMPLANT DURATION OF APPROXIMATELY 5 YEARS DUE TO MITRAL STENOSIS (MS). PER THE OP REPORT, TEE SHOWED SEVERE BIOPROSTHETIC MS WITH AN EF OF 40%. A 26 MM EDWARDS SAPIEN TRANSCATHETER HEART VALVE WAS USED TO REPLACE THE BIOPROSTHETIC MITRAL VALVE. TEE EVALUATION REVEALED EXCELLENT VALVE POSITION AND FUNCTION WITH NO PERIVALVULAR LEAK. THERE WAS NO MS OR MITRAL REGURGITATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
333801 CARPENTIER-EDWARDS PERIMOUNT THEON PERICARDIAL BIOPROSTHESIS REPLACEMENT HEART VALVE DYE EDWARDS LIFESCIENCES 6900PTFX

Patients

Seq Age Sex Outcome Treatment
1 65 YR Hospitalization| R