FDA Adverse Event Malfunction Summary report: N

MELODY TRANSCATHER PULMONARY

MDR report key: 4140609 · Received October 3, 2014

Report

Report Number
2025587-2014-00733
Event Type
Malfunction
Date Received
October 3, 2014
Date of Event
January 18, 2010
Report Date
September 10, 2014
Manufacturer
MEDTRONIC HEART VALVES DIVISION
Product Code
NPV
PMA / PMN Number
H080002
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE REMAINS IMPLANTED. THE DEVICE HISTORY RECORD WAS REVIEWED AND SHOWED THAT THIS PRODUCT MET ALL MANUFACTURING SPECIFICATIONS FOR PRODUCT RELEASED FOR DISTRIBUTION. NO ISSUES WERE IDENTIFIED THAT WOULD HAVE IMPACTED THIS EVENT. BASED ON CLINICAL DATA AND LITERATURE, MELODY STENT FRACTURES ARE A KNOWN PHENOMENON. PROMINENT MECHANICAL STRESSES ON THE OUTFLOW TRACT STENT, SUCH AS COMPRESSION BETWEEN THE ANTERIOR CHEST WALL AND HEART, APPEAR TO BE ASSOCIATED WITH AN INCREASED RISK OF STENT FRACTURE. IN THIS CASE, THERE IS INSUFFICIENT INFORMATION TO DETERMINE A TRUE ROOT CAUSE TO THE REPORTED TYPE 1 STENT FRACTURES. (B)(4).

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

MEDTRONIC RECEIVED INFORMATION THAT DURING FOLLOW-UPS BETWEEN SIX AND 61 MONTHS POST-IMPLANT, THIS TRANSCATHETER PULMONARY VALVE WAS FOUND TO HAVE SIX OR SEVEN POSSIBLE TYPE 1 STENT FRACTURES. THERE WAS NO LOSS OF DEVICE INTEGRITY. THERE WAS NO TREATMENT OR INTERVENTION REQUIRED, AND NO ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
620232 MELODY TRANSCATHER PULMONARY PULMONARY VALVE PROSTHESIS PERCUTANEOUSLY DELIVERED NPV MEDTRONIC HEART VALVES DIVISION PB10F18

Patients

Seq Age Sex Outcome Treatment
1 00016 YR