FDA Adverse Event Death Summary report: N

ON-X AORTIC PROSTHETIC HEART VALVE

MDR report key: 5001656 · Received August 11, 2015

Report

Report Number
1649833-2015-00019
Event Type
Death
Date Received
August 11, 2015
Date of Event
February 23, 2014
Report Date
August 10, 2015
Manufacturer
ON-X LIFE TECHNOLOGIES, INC.
Product Code
LWQ
UDI-DI
00851788001426
PMA / PMN Number
P000037
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE AATS/STS GUIDELINES DEFINES PARAVALVULAR LEAK AND ENDOCARDITIS AS REPORTABLE. THEREFORE, THIS IS BEING REPORTED. THIS IS AN EXPECTED ADVERSE EVENT AND IS OCCURRING WITHIN EXPECTED RATE. NO TREND IS SEEN. NO AUTOPSY WAS DONE AND VALVE NOT EXPLANTED. REVIEW OF DEVICE HISTORY RECORDS FOR THIS VALVE SHOWS THE VALVE WAS BUILT PER SPECIFICATIONS.

Description of Event or Problem · 1

EVENT OCCURED IN (B)(6). PATIENT DEATH, POST-OP LATE (5 MONTHS). BACKGROUND: DISEASE ETIOLOGY: PROSTHETIC VALVE (NOT AN ON-X VALVE) DEHISCED DUE TO INFECTIVE ENDOCARDITIS (IE) IN (B)(6) 2012. PATIENT HAD STOPPED TAKING WARFARIN. EMERGENCY RE-DO AORTIC VALVE REPLACEMENT ON (B)(6) 2013 W/ ON-X VALVE. UPON DISCHARGE DATE 12/26/2013, ECHO SHOWED GRADE II AORTIC REGURG. (TRANS + PERIVALVULAR). INR=1.76, NYHA CLASS I, SLDH =205. PATIENT DIED (B)(6) 2014, RECORDED AS VALVE-RELATED DUE TO PREVIOUSLY-DESCRIBED DISEASE ETIOLOGY. IT IS NOT CLEAR IF THE ON-X VALVE ALSO DEHISCED DUE TO IE. ON (B)(6) 2015, ONXLTI RECEIVED A SET OF DATA FROM THE SPONSOR OF A (B)(6) POST-MARKET STUDY, WHERE-IN THEY WANTED ON-X TO DO DATA ANALYSIS ON A SET OF DATA CONTAINING ADVERSE EVENTS. THE VALVE ON THIS MDR IS ONE OF THE AE'S. SEE SCANNED CHART. THERE ARE NO STATISTICALLY SIGNIFICANT DIFFERENCES IN THESE RATES AND THIS TRIAL WAS RUN AT INR OF 1.5 TO 2.5 VERSUS THE PMA AT 2.0 TO 3.0. AT LOWER INR LO RATES ARE EXPECTED BASED ON OUR RESEARCH. SO THESE EVENTS WHILE MDR REPORTABLE AS INDIVIDUAL OCCURRENCES, THEY ARE OVERALL IN THE RANGE EXPECTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
525173 ON-X AORTIC PROSTHETIC HEART VALVE MECHANICAL HEART VALVE LWQ ON-X LIFE TECHNOLOGIES, INC. ONXAE 00851788001426

Patients

Seq Age Sex Outcome Treatment
1 36 YR Death