BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EDWARDS SAPIEN XT TRANSCATHETER HEART VALVE

    MDR report key: 9421195 · Received December 5, 2019

    Report

    Report Number
    2015691-2019-04497
    Event Type
    Injury
    Date Received
    December 5, 2019
    Date of Event
    August 9, 2019
    Report Date
    November 25, 2019
    Manufacturer
    EDWARDS LIFESCIENCES
    Product Code
    NPT
    PMA / PMN Number
    P130009
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 0

    THIS REPORT SUMMARIZES NOE 11 NOE SERIOUS INJURY EVENTS SAPIEN XT VALVE, SUPPLEMENTAL REPORT TO REFLECT NOE NUMBER.

    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;4579676,I,SI,3,Edwards SAPIEN XT,9300TFX29,2993;5416124,I,SI,0,Edwards SAPIEN XT,9300TFX23,2993;5440085,I,SI,0,Edwards SAPIEN XT,9300TFX23,2993;5453248,I,SI,1,Edwards SAPIEN XT,9300TFX29,2993;5455147,I,SI,0,Edwards SAPIEN XT,9300TFX26,2993;5455147,I,SI,0,Edwards SAPIEN XT,9300TFX26,3190;5457501,I,SI,0,Edwards SAPIEN XT,9300TFX29,3190;5458497,I,SI,0,Edwards SAPIEN XT,9300TFX23,3190;5466224,I,SI,0,Edwards SAPIEN XT,9300TFX26,3190;5524100,I,SI,1,Edwards SAPIEN XT,9300TFX23,2993;5323926,I,SI,1,Edwards SAPIEN XT,9300TFX26,3190

    Additional Manufacturer Narrative · 1

    EXEMPTION NUMBER E2016006, THIS REPORT SUMMARIZES 11 SERIOUS INJURY EVENTS. COLUMN A INDICATES WHETHER AN EVENT IS A NEW EVENT OR FOLLOW-UP. COLUMNS M AND N ASSOCIATE A DEVICE WITH THE EVENT TYPE (E.G., IT IS CONSIDERED MOST APPROPRIATE TO ASSIGN AN EVENT OF ¿MAJOR VASCULAR COMPLICATION¿ TO A SHEATH, RATHER THAN THE SAPIEN XT VALVE).  ASSOCIATED DEVICE INFORMATION IS NOT INCLUDED IN THE DATA RECEIVED FROM THE REGISTRY; THE PRODUCTS WERE ASSIGNED BY EDWARDS BASED ON STANDARD KITTING AND THE ¿IMPLANT APPROACH¿ FIELD AVAILABLE IN THE REGISTRY.

    Description of Event or Problem · 1

    THV/TVT REGISTRY ALTERNATIVE SUMMARY REPORTING (ASR) ADVERSE EVENT SUBMISSION FOR AUG 9TH, 2019 DATA EXTRACT FOR SERIOUS INJURIES FOR THE SAPIEN XT VALVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1213089 EDWARDS SAPIEN XT TRANSCATHETER HEART VALVE AORTIC VALVE, PROSTHESIS, PERCUTANEOUSLY DELIVERED NPT EDWARDS LIFESCIENCES 9300TFX N/A

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention