FDA Adverse Event Death Summary report: N

COREVALVE SYSTEM

MDR report key: 5609256 · Received April 26, 2016

Report

Report Number
2025587-2016-00631
Event Type
Death
Date Received
April 26, 2016
Date of Event
July 1, 2015
Report Date
January 4, 2019
Manufacturer
MEDTRONIC CORONARY AND STRUCTURAL HEART
Product Code
NPT
PMA / PMN Number
P130021
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 0

Unique Complaint ID Number,Initial or Supplement,Type of event,TTE in days,Device Brand Name,Medical device identifier,Device Codes;701233402-1101130-10,I,D,0,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-1101130-10,S,,,,,;701233402-1176508-10,I,D,150,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-1299727-10,I,D,133,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-2022978-10,I,D,43,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-2192694-10,I,D,217,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-2595458-10,I,D,332,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3026727-10,I,D,73,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3045441-10,I,D,102,CoreValve System - Transcatheter Aortic Valve,MCS-P3-23-AOA,C53269 ;701233402-3053286-10,I,D,240,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3067452-10,I,D,Not reported.,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3067452-10,S,D,,,,;701233402-3070958-10,I,D,507,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3074380-10,I,D,472,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3074549-10,I,D,244,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3074738-10,I,D,268,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3087229-10,I,D,66,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3088505-10,I,D,92,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3088522-10,I,D,365,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3088525-10,I,D,87,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3088560-10,I,D,40,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3088577-10,I,D,154,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3090353-10,I,D,346,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3102823-10,I,D,147,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3107174-10,I,D,153,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3107534-10,I,D,180,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3135176-10,I,D,326,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3135176-10,S,,,,,;701233402-3136077-10,I,D,Not reported.,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3147724-10,I,D,66,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3148836-10,I,D,25,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3149678-10,I,D,396,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3154642-10,I,D,61,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3157987-10,I,D,232,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3175160-10,I,D,218,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3186313-10,I,D,282,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3186690-10,I,D,102,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3189257-10,I,D,Not reported.,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3190471-10,I,D,53,CoreValve System - Transcatheter Aortic Valve,MCS-P4-23-AOA,C53269 ;701233402-3192994-10,I,D,Not reported.,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3193697-10,I,D,342,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3199274-10,I,D,Not reported.,CoreValve System - Transcatheter Aortic Valve,MCS-P3-23-AOA,C53269 ;701233402-3207812-10,I,D,260,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3211947-10,I,D,299,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3216665-10,I,D,270,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3217250-10,I,D,38,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3220501-10,I,D,115,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3220934-10,I,D,Not reported.,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3224805-10,I,D,161,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3225458-10,I,D,53,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3226379-10,I,D,423,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3226379-10,S,,,,,;701233402-3227755-10,I,D,118,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3228882-10,I,D,392,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3230561-10,I,D,342,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3231929-10,I,D,265,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3232005-10,I,D,448,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3232298-10,I,D,96,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3237879-10,I,D,322,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3242711-10,I,D,277,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3245354-10,I,D,109,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3245943-10,I,D,57,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3246880-10,I,D,89,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3247060-10,I,D,345,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3247261-10,I,D,404,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3249355-10,I,D,336,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3250833-10,I,D,Not reported.,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3251653-10,I,D,420,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3251724-10,I,D,279,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3251839-10,I,D,51,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3254464-10,I,D,117,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3256075-10,I,D,244,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3261126-10,I,D,147,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3269653-10,I,D,273,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3270265-10,I,D,383,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3273534-10,I,D,109,CoreValve System - Transcatheter Aortic Valve,MCS-P3-23-AOA,C53269 ;701233402-3276476-10,I,D,232,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3278247-10,I,D,395,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3279659-10,I,D,142,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3279998-10,I,D,185,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3284015-10,I,D,174,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3284571-10,I,D,128,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3284824-10,I,D,102,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3285590-10,I,D,Not reported.,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3290967-10,I,D,314,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3292193-10,I,D,319,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3292554-10,I,D,82,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3293411-10,I,D,125,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3294017-10,I,D,277,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3296628-10,I,D,148,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3300063-10,I,D,174,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3303009-10,I,D,284,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3305382-10,I,D,366,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3306238-10,I,D,312,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3306392-10,I,D,354,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3306554-10,I,D,Not reported.,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3310787-10,I,D,299,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3311021-10,I,D,46,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3312562-10,I,D,44,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3318364-10,I,D,96,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3318982-10,I,D,364,CoreValve System - Transcatheter Aortic Valve,MCS-P4-23-AOA,C53269 ;701233402-3320364-10,I,D,88,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3321007-10,I,D,152,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3322772-10,I,D,103,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3324334-10,I,D,99,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3326695-10,I,D,282,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3326753-10,I,D,267,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3330684-10,I,D,Not reported.,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3349438-10,I,D,154,CoreValve System - Transcatheter Aortic Valve,MCS-P4-23-AOA-US,C53269 ;701233402-3373851-10,I,D,213,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3374058-10,I,D,100,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3398190-10,I,D,44,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3403706-10,I,D,169,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3417438-10,I,D,5,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US ,C53269 ;701233402-3418058-10,I,D,259,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3425151-10,I,D,68,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3434344-10,I,D,160,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3462187-10,I,D,200,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269;701233402-3465715-10,I,D,174,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3475909-10,I,D,33,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US ,C53269 ;701233402-3487748-10,I,D,89,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3489678-10,I,D,57,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3509810-10,I,D,58,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3510662-10,I,D,21,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3510662-10,S,,,,,;701233402-3515541-10,I,D,46,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3519305-10,I,D,63,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3521501-10,I,D,14,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269;701233402-3523326-10,I,D,19,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3523971-10,I,D,55,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3523971-10,S,,,,,;701233402-3526753-10,I,D,153,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA-US,C53269 ;701233402-3530376-10,I,D,96,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3531657-10,I,D,98,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3535162-10,I,D,68,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA-US,C53269 ;701233402-3545106-10,I,D,78,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3546257-10,I,D,57,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3553911-10,I,D,52,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3557826-10,I,D,79,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3559397-10,I,D,77,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3561304-10,I,D,88,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3562567-10,I,D,43,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3562567-10,S,,,,,;701233402-3563113-10,I,D,25,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3565667-10,I,D,58,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3565920-10,I,D,101,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3565937-10,I,D,162,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA,C53269 ;701233402-3571428-10,I,D,0,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3577788-10,I,D,59,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3578941-10,I,D,3,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA-US,C53269 ;701233402-3580674-10,I,D,26,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3584080-10,I,D,16,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3592650-10,I,D,10,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3594464-10,I,D,24,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3594948-10,I,D,50,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3595971-10,I,D,33,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-23-US,C53269 ;701233402-3597795-10,I,D,3,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3597795-10,S,,,,,;701233402-3602004-10,I,D,13,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3602254-10,I,D,33,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA-US,C53269 ;701233402-3604720-10,I,D,3,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3605057-10,I,D,20,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA-US,C53269 ;701233402-3605610-10,I,D,34,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3606542-10,I,D,49,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3607856-10,I,D,13,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3608287-10,I,D,16,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3608815-10,I,D,9,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US ,C53269 ;701233402-3608987-10,I,D,2,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3610063-10,I,D,4,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-23-US,C53269 ;701233402-3610407-10,I,D,76,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3610628-10,I,D,34,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3610700-10,I,D,41,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3611168-10,I,D,36,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3611670-10,I,D,71,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3611670-10,S,,,,,;701233402-3614489-10,I,D,41,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3615192-10,I,D,5,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3615816-10,I,D,6,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA-US,C53269 ;701233402-3617151-10,I,D,6,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3619012-10,I,D,10,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3622678-10,I,D,12,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3622999-10,I,D,21,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3623593-10,I,D,7,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3623748-10,I,D,26,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3623748-10,S,D,,,,;701233402-3624091-10,I,D,21,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3624372-10,I,D,13,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;,,,,,,;701233402-3626146-10,I,D,0,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3626227-10,I,D,23,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3628262-10,I,D,0,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269;701233402-3629028-10,I,D,Not reported.,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3629028-10,S,,73,,,;701233402-3631432-10,I,D,3,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3632727-10,I,D,17,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3633101-10,I,D,27,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3634236-10,I,D,27,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3634236-10,S,D,,,,;701233402-3634590-10,I,D,1,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA-US,C53269 ;701233402-3638123-10,I,D,39,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3638876-10,I,D,42,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3644068-10,I,D,18,CoreValve System - Transcatheter Aortic Valve,MCS-P4-23-AOA-US,C53269 ;701233402-3645294-10,I,D,6,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA-US,C53269 ;701233402-3645468-10,I,D,6,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3647240-10,I,D,67,CoreValve System - Transcatheter Aortic Valve,MCS-P4-23-AOA-US,C53269 ;701233402-3647976-10,I,D,39,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3649263-10,I,D,33,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US ,C53269 ;701233402-3649640-10,I,D,37,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3650331-10,I,D,9,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3652612-10,I,D,21,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3652894-10,I,D,55,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3653246-10,I,D,1,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3654505-10,I,D,8,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3654505-10,S,D,,,,;701233402-3655224-10,I,D,15,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3655622-10,I,D,10,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3655622-10,S,,,,,;701233402-3655622-10,S,,,,,;701233402-3655768-10,I,D,6,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3657195-10,I,D,39,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US ,C53269 ;701233402-3657262-10,I,D,0,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C62814;C64343;701233402-3657776-10,I,D,5,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3658159-10,I,D,18,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3658614-10,I,D,8,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3658772-10,I,D,5,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3664542-10,I,D,51,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3666208-10,I,D,18,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3669813-10,I,D,96,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3673139-10,I,D,11,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3673667-10,I,D,1,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3673667-10,S,,,,,;701233402-3673667-10,S,,,,,;701233402-3676703-10,I,D,7,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3677033-10,I,D,105,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA-US,C53269 ;701233402-3679274-10,I,D,9,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-26-US,C53269 ;701233402-3679339-10,I,D,25,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3680868-10,I,D,10,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3681386-10,I,D,31,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA-US,C53269 ;701233402-3681386-10,S,,,,,;701233402-3682947-10,I,D,39,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3683813-10,I,D,14,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3686695-10,I,D,56,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-23-US,C53269 ;701233402-3686695-10,S,D,,,,;701233402-3687200-10,I,D,7,CoreValve System - Transcatheter Aortic Valve,MCS-P3-29-AOA-US,C53269 ;701233402-3688301-10,I,D,87,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269 ;701233402-3689237-10,I,D,0,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA-US,C53269;701233402-3689237-10,S,,,,,;701233402-3689237-10,S,,,,,;701233402-3693310-10,I,D,52,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3695933-10,I,D,36,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA,C53269 ;701233402-3695933-10,S,,,,,;701233402-3697474-10,I,D,9,CoreValve System - Transcatheter Aortic Valve,MCS-P3-26-AOA,C53269 ;701233402-3698717-10,I,D,10,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3699449-10,I,D,32,CoreValve System - Transcatheter Aortic Valve,MCS-P3-31-AOA-US,C53269 ;701233402-3699449-10,S,,,,,;701233402-3700272-10,I,D,0,CoreValve Evolut R - Transcatheter Aortic Valve,EVOLUTR-29-US,C53269

Additional Manufacturer Narrative · 1

TVT REGISTRY EXEMPTION NUMBER: E2014038. TOTAL NUMBER OF EVENTS BEING SUMMARIZED: 232 UNDER THE TERMS AND CONDITIONS OF THE REGISTRY, ANONYMIZED PATIENT DEMOGRAPHICS DETAILS AND LIMITED DETAILS WERE PROVIDED REGARDING THE ADVERSE EVENTS AND OUTCOMES. THE REPORTED EVENT INFORMATION DID NOT INCLUDE ANY DEVICE-SPECIFIC IDENTIFYING INFORMATION, LOCATION WHERE THE EVENTS OCCURRED OR THE SPECIFIC DATES OF THE EVENTS. WITHOUT SUCH INFORMATION, IT CANNOT BE DETERMINED IF ANY OF THESE EVENTS WERE PREVIOUSLY REPORTED TO MEDTRONIC OR THE FDA MAUDE DATABASE, OR IF ANY DEVICES WERE EXPLANTED AND RETURNED TO MEDTRONIC FOR ANALYSIS. THE DEATH AND EVENT DATES LISTED ON THIS FORM ARE THE FIRST DAY OF THE REGISTRY'S QUARTERLY REPORTING PERIOD; (B)(4).

Additional Manufacturer Narrative · 1

EXEMPTION NUMBER: E2014038. (B)(4). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

EXEMPTION NUMBER: E2014038. (B)(4). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

EXEMPTION NUMBER: E2014038. (B)(4). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

CORRECTED INFORMATION: SEX. NO EVAL EXPLAIN CODE. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

EXEMPTION NUMBER: E2014038. (B)(4). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

EXEMPTION NUMBER: E2014038. (B)(4). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

EXEMPTION NUMBER: E2014038. (B)(4). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

EXEMPTION NUMBER: E2014038. (B)(4). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

EXEMPTION NUMBER: E2014038. (B)(4). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

MEDTRONIC RECEIVED INFORMATION REGARDING PATIENT/DEVICE EVENTS VIA A THIRD-PARTY POST-IMPLANT DEVICE REGISTRY ((B)(6) TRANSCATHETER VALVE THERAPY REGISTRY). THE INFORMATION IN THIS REPORT WAS PROVIDED TO MEDTRONIC IN A DE-IDENTIFIED FORMAT, AND HAS BEEN ORGANIZED INTO A SUMMARY OF OBSERVATIONS RELATED TO PATIENT DEATHS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
264365 COREVALVE SYSTEM AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIVERED NPT MEDTRONIC CORONARY AND STRUCTURAL HEART CRS

Patients

Seq Age Sex Outcome Treatment
1 80 YR Death| H| L| R