FDA Adverse Event Injury Summary report: N

VALVE HANCOCK II

MDR report key: 5530408 · Received March 28, 2016

Report

Report Number
2025587-2016-00365
Event Type
Injury
Date Received
March 28, 2016
Date of Event
August 1, 2011
Report Date
March 4, 2016
Manufacturer
MEDTRONIC HEART VALVES DIVISION
Product Code
LWR
PMA / PMN Number
P980043
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT ANALYSIS: THE PRODUCT HAS NOT BEEN RETURNED FOR ANALYSIS, THEREFORE NO PRODUCT ANALYSIS CAN BE PERFORMED. CONCLUSION: WITHOUT RETURN OF THE PRODUCT, NO DEFINITIVE CONCLUSIONS COULD BE DRAWN REGARDING THE CLINICAL OBSERVATION. TITLE: DURABILITY OF BIOPROSTHETIC VALVES IN THE PULMONARY POSITION: LONG-TERM FOLLOW-UP OF 181 IMPLANTS IN PATIENTS WITH CONGENITAL HEART DISEASE CITATION: THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY (2001) 142:351¿8 DOI 10.1016/J.JTCVS.2010.12.020 AUTHORS: LEE, C., PARK, C.S., LEE, C.H., KWAK, J.G., KIM, S.J., SHIM, W.S., SONG, J.Y., CHOI, E.Y., LEE, S.Y. NO UNIQUE DEVICE IDENTIFIER (SERIAL/LOT) NUMBERS WERE PROVIDED; WITHOUT THIS INFORMATION IT CANNOT BE DETERMINED WHETHER THIS EVENT HAS BEEN PREVIOUSLY REPORTED.

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 VIA LITERATURE REVIEW THAT A STUDY WAS PERFORMED TO EVALUATE THE DURABILITY OF BIOPROSTHETIC VALVES IN THE PULMONARY POSITION. THE STUDY TOOK PLACE BETWEEN 1993 AND 2004 AND INCLUDED 181 PATIENTS (PREDOMINANTLY MALE WITH A MEAN AGE OF 14.2 ± 9.8 YEARS). OF THESE PATIENTS, EIGHTY-THREE PATIENTS WERE IMPLANTED WITH A HANCOCK II VALVE AND TWENTY-THREE WERE IMPLANTED WITH A FREESTYLE VALVE. NO SERIAL NUMBERS WERE PROVIDED. AMONG ALL PATIENTS IN THIS STUDY, 10 DEATHS OCCURRED (3 EARLY DEATHS AND 7 LATE DEATHS). NONE OF THE DEATHS WERE ATTRIBUTED TO MEDTRONIC DEVICES. ADVERSE EVENTS INCLUDED; 30 INCIDENTS OF VALVE REPLACEMENT DUE TO STENOSIS, 7 INCIDENTS OF VALVE REPLACEMENT DUE TO ENDOCARDITIS, AND 6 INCIDENTS OF COMBINED STENOSIS WITH REGURGITATION. TEN INCIDENTS OF RE-INTERVENTIONAL BALLOON AORTIC VALVULOPLASTY (BAV) WERE PERFORMED DUE TO STENOSIS AND SUBSEQUENT INCREASED GRADIENT MEASUREMENTS (55 MM HG). EIGHT OF THESE TEN PATIENTS WERE TREATED WITH REOPERATION. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
185206 VALVE HANCOCK II HEART-VALVE, NON-ALLOGRAFT TISSUE LWR MEDTRONIC HEART VALVES DIVISION HANCOCKII

Patients

Seq Age Sex Outcome Treatment
1 00014 YR Required Intervention