FDA Adverse Event Injury Summary report: N

CARPENTIER-EDWARDS PERIMOUNT PLUS PERICARDIAL BIOPROSTHESIS

MDR report key: 3800980 · Received May 8, 2014

Report

Report Number
2015691-2014-01064
Event Type
Injury
Date Received
May 8, 2014
Date of Event
November 24, 2009
Report Date
April 9, 2014
Manufacturer
EDWARDS LIFESCIENCES
Product Code
DYE
PMA / PMN Number
P860057/S016
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

STENOTIC BIOPROSTHETIC VALVE. ADDITIONAL MANUFACTURER NARRATIVE: IT WAS LEARNED THAT THIS PATIENT HAD A STENOTIC BIOPROSTHETIC VALVE. MANY FACTORS CAN CONTRIBUTE TO THE ONSET BIOPROSTHETIC STENOSIS, INCLUDING PATIENT RELATED (E.G. PATIENT AGE, DISEASE STATE, IMMUNE STATUS, AND OTHER CO-MORBIDITIES), PHARMACOLOGICAL, AND INTRINSIC PROPERTIES OF THE VALVE ITSELF. IN THIS CASE, THERE IS INSUFFICIENT INFORMATION TO CONFIRM THE ROOT CAUSE OF THIS EVENT. THERE HAVE NOT BEEN ANY ALLEGATIONS OF A QUALITY DEFICIENCY RELATED TO THE EDWARDS VALVE. NO FURTHER ACTIONS ARE POSSIBLE WITH THE AVAILABLE INFORMATION.

Description of Event or Problem · 1

TRANSCATHETER VALVE-IN-VALVE IMPLANTATION FOR FAILED BIOPROSTHETIC HEART VALVES STUDY: IT WAS IDENTIFIED THROUGH REVIEW OF THIS LITERATURE THAT THIS PATIENT EXPERIENCED MITRAL STENOSIS OF THEIR EDWARDS BIOPROSTHETIC VALVE AFTER AN IMPLANT DURATION OF APPROXIMATELY SEVEN (7) YEARS. THE PATIENT UNDERWENT A SUCCESSFUL VALVE-IN-VALVE TRANSCATHETER MITRAL VALVE REPLACEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
277764 CARPENTIER-EDWARDS PERIMOUNT PLUS PERICARDIAL BIOPROSTHESIS REPLACEMENT HEART VALVE DYE EDWARDS LIFESCIENCES 6900P

Patients

Seq Age Sex Outcome Treatment
1 80 YR Hospitalization| R