• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CORCYM CANADA CORP. PERCEVAL SUTURELESS AORTIC HEART VALVE; TISSUE HEART VALVE

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

CORCYM CANADA CORP. PERCEVAL SUTURELESS AORTIC HEART VALVE; TISSUE HEART VALVE Back to Search Results
Model Number PVS23
Device Problem Perivalvular Leak (1457)
Patient Problems Aneurysm (1708); Endocarditis (1834)
Event Type  Death  
Event Description
This case refers to pt # 1 of 14 : based on information received from the paper "endocarditis on a perceval s sutureless prosthesis.A new valve with a new form of clinical presentation" by m.V.Groba-marco.The patient was suffering from prosthetic valvular endocarditis (pve).A perceval pvs 23mm was implanted.After 7 months of implantation an echo showed the patient had a periprosthetic leak, vegetations and a mycotic aneurysm.The patient died intra-operatively.
 
Event Description
The manufacturer was informed on this event through the publication ''endocarditis on a perceval s sutureless prosthesis.A new valve with a new form of clinical presentation'' by groba-marco et al.Based on the information reported in the paper, infectious endocarditis is a disease with high morbidity and mortality, the most severe form being prosthetic valvular endocarditis (pve).The authors of the paper performed a retrospective observational study to analyze the prevalence and presenting characteristics of pve in the perceval prosthesis, with particular attention paid to diagnostic imaging.Since 2015, 670 perceval s valves have been implanted and 14 cases of pve have been diagnosed in them.This case refers to a patient who received a perceval pvs23 valve.The patient developed pve 7 months after the implant of the pvs23 valve, leading to re-intervention.The microorganism was identified as coagulase-negative staphylococcus.The pre-operative tee showed mycotic aneurysm, vegetation and periprosthetic leak.The patient passed away intraoperatively.
 
Manufacturer Narrative
The manufacturer attempted to retrieve additional information on the reported event.However, no further details have been received to date.Since the device serial number is unknown and its disposition is unknown (device not returned to the manufacturer), no further investigation is possible at this time.Based on the limited information available, it is not possible to establish a definitive root cause for the reported event.It should be noted that endocarditis is listed as a possible adverse event in the perceval ifu.The event is, therefore, a known inherent risk of the device.As no further investigation is possible, the manufacturer will proceed with the case closure at this time.Should the manufacturer receive additional information in the future, an update to this reporting activity will be provided.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
PERCEVAL SUTURELESS AORTIC HEART VALVE
Type of Device
TISSUE HEART VALVE
Manufacturer (Section D)
CORCYM CANADA CORP.
5005 north fraser way
burnaby, bc
MDR Report Key12393993
MDR Text Key269009059
Report Number3004478276-2021-00200
Device Sequence Number1
Product Code LWR
Combination Product (y/n)N
PMA/PMN Number
P150011
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Type of Report Initial,Followup
Report Date 10/08/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/31/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model NumberPVS23
Device Catalogue NumberICV1209
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received10/08/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Death;
Patient Age76 YR
-
-