FDA Adverse Event Injury Summary report: N

HANCOCK II MITRAL BIOPROSTHETIC HEART VALVE

MDR report key: 9482203 · Received December 17, 2019

Report

Report Number
2025587-2019-03799
Event Type
Injury
Date Received
December 17, 2019
Date of Event
August 28, 2019
Report Date
December 17, 2019
Manufacturer
MEDTRONIC HEART VALVES DIVISION
Product Code
DYE
PMA / PMN Number
P980043
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CITATION: MALVINDI PG ET AL. DURABILITY OF MITRAL VALVE BIOPROSTHESES: A META-ANALYSIS OF LONG-TERM FOLLOW-UP STUDIES. ANN THORAC SURG. 2019 AUG 28. PII: S0003-4975(19)31247-0. DOI: 10.1016/J.ATHORACSUR.2019.07.024. EARLIEST DATE OF PUBLISH USED FOR EVENT DATE. NO UNIQUE DEVICE IDENTIFIER (SERIAL/LOT) NUMBERS WERE PROVIDED; WITHOUT THIS INFORMATION IT COULD NOT BE DETERMINED WHETHER THESE OBSERVATIONS HAVE BEEN PREVIOUSLY REPORTED. WITHOUT RETURN OF THE PRODUCT NO DEFINITIVE CONCLUSION CAN BE MADE REGARDING THE CLINICAL OBSERVATIONS. (B)(4). IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

MEDTRONIC RECEIVED INFORMATION VIA LITERATURE REGARDING THE LONG-TERM DURABILITY OF MITRAL VALVE BIOPROSTHESES. ALL DATA WERE COLLECTED FROM A META-ANALYSIS REVIEW OF 40 FULL-TEXT ARTICLES. THE STUDY POPULATION INCLUDED 15,215 PATIENTS WITH A MEAN AGE OF 61 YEARS. OF THOSE, 6,193 WERE IMPLANTED WITH MEDTRONIC PORCINE SURGICAL VALVES IN THE MITRAL POSITION: HANCOCK (4,829), HANCOCK II (424), AND MOSAIC (940). NO SERIAL NUMBERS WERE PROVIDED. AMONG ALL HANCOCK, HANCOCK II, AND MOSAIC PATIENTS, EARLY MORTALITY RATES WERE 10%, 8.7%, AND 3.7%, RESPECTIVELY. NO OTHER DETAILS WERE REPORTED. BASED ON THE AVAILABLE INFORMATION, MEDTRONIC PRODUCT WAS NOT DIRECTLY ASSOCIATED WITH THE DEATHS. AMONG ALL PATIENTS, ADVERSE EVENTS INCLUDED: REOPERATION/REDO MITRAL VALVE REPLACEMENT DUE TO STRUCTURAL VALVE DETERIORATION. THE TYPES OF DETERIORATION OBSERVED IN PORCINE VALVES: LEAFLET CALCIFICATION, LEAFLET TEARS/DEHISCENCE, AND STENOSIS. BASED ON THE AVAILABLE INFORMATION, MEDTRONIC PRODUCT MAY HAVE BEEN ASSOCIATED WITH THE ADVERSE EVENTS. NO ADDITIONAL ADVERSE PATIENT EFFECTS OR PRODUCT PERFORMANCE ISSUES WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1278638 HANCOCK II MITRAL BIOPROSTHETIC HEART VALVE HEART-VALVE, REPLACEMENT DYE MEDTRONIC HEART VALVES DIVISION T510

Patients

Seq Age Sex Outcome Treatment
1 61 YR Required Intervention