FDA Adverse Event Injury Summary report: N

CARPENTIER-EDWARDS CLASSIC ANNULOPLASTY RING

MDR report key: 3833934 · Received May 27, 2014

Report

Report Number
2015691-2014-01242
Event Type
Injury
Date Received
May 27, 2014
Date of Event
April 8, 2014
Report Date
April 28, 2014
Manufacturer
EDWARDS LIFESCIENCES
Product Code
KRH
PMA / PMN Number
K912554
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

IT WAS REPORTED THAT THIS RING WAS REPLACED DUE TO REGURGITATION; PERIVALVULAR LEAK; AND PANNUS OVERGROWTH. THE CAUSES OF RE-OPERATION FOR A FAILED ANNULOPLASTY REPAIRS ARE WELL DOCUMENTED IN THE LITERATURE. RE-OPERATIONS ARE PRIMARILY THE RESULT OF A PROGRESSION OF DISEASE OR TECHNICAL FAILURES AND ARE NOT RELATED TO PRODUCT MALFUNCTIONS. UNLIKE PROSTHETIC HEART VALVES, ANNULOPLASTY RINGS ARE AN ADJUNCT TO THE VALVE REPAIR. IN THIS CASE, THE ROOT CAUSE OF THIS EVENT CANNOT BE CONFIRMED WITH THE AVAILABLE INFORMATION. THE DEVICE WAS NOT RETURNED TO EDWARDS FOR EVALUATION. NO FURTHER ACTIONS ARE POSSIBLE WITH THE AVAILABLE INFORMATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT THIS PATIENT UNDERWENT VALVE-IN-RING PROCEDURE WITHIN AN EXISTING EDWARDS ANNULOPLASTY RING. THE IMPLANT DURATION OF THE EDWARDS DEVICE AT THE TIME OF THE PROCEDURE WAS APPROXIMATELY 13 YEARS. THE REASON FOR REOPERATION WAS REPORTED AS: REGURGITATION; PERIVALVULAR LEAK; PANNUS OVERGROWTH. NO OTHER DETAILS HAVE BEEN PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
310908 CARPENTIER-EDWARDS CLASSIC ANNULOPLASTY RING ANNULOPLASTY RING KRH EDWARDS LIFESCIENCES 4400

Patients

Seq Age Sex Outcome Treatment
1 91 YR Hospitalization| R