MAUDE Adverse Event Report: ABBOTT MEDICAL MASTERS SERIES HEMODYNAMIC PLUS VALVE; HEART-VALVE, MECHANICAL

Catalog Number 23AHP-105

Device Problem Physical Resistance/Sticking (4012)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 12/26/2023

Event Type  malfunction  

Manufacturer Narrative

Investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.

Event Description

It was reported that on (b)(6) 2023, a 23mm master's hemodynamic plus mechanical aortic valve was chosen for implantation.After implantation, the leaflets were immobile.A replacement 23mm masters hemodynamic plus mechanical aortic valve was implanted successfully.The explanted device was tested outside of the patient and the leaflets were still not functioning normally.The patient remained on cardiopulmonary bypass (cpb) throughout the procedure.There was reportedly a delay without patient effects.The patient is reported to be stable.

Manufacturer Narrative

An event of explant due to leaflet immobility was reported.Morphological and hydrodynamic examination indicated the valve met abbott specifications.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed and the product met all specifications.Hydrodynamic testing upon return to abbott and at the time of manufacturing indicated the valve functioned normally.This test ensures proper leaflet coaptation and hemodynamic performance.The cause of the reported event could not be conclusively determined.There is no indication of a product quality issue with respect to labeling design or manufacturing of the device.

Event Description

It was reported that on 26 december 2023, a 23mm master's hemodynamic plus mechanical aortic valve was chosen for implantation.The patient presented with aortic stenosis.After implantation, the leaflets were immobile.Leaflet function was tested with a leaflet tester tool.A replacement 23mm masters hemodynamic plus mechanical aortic valve was implanted successfully.The explanted device leaflets was tested outside of the patient with the valve tester and the leaflets were still not functioning normally.The patient remained on cardiopulmonary bypass (cpb) throughout the procedure.There was reportedly a delay without patient effects.The patient is reported to be stable.The patient remained hemodynamically stable throughout the procedure.

• Brand Name: MASTERS SERIES HEMODYNAMIC PLUS VALVE
• Type of Device: HEART-VALVE, MECHANICAL
• Manufacturer (Section D): ABBOTT MEDICAL; 5050 nathan lane n; plymouth MN 55442
• Manufacturer (Section G): ST. JUDE MEDICAL PUERTO RICO, INC. REG#2648612; 20 b st caguas west park; caguas 00725 ; * 00725
• Manufacturer Contact: karen krouse ; 5050 nathan lane n; plymouth, MN 55442 ; 6517565400
• MDR Report Key: 18526832
• MDR Text Key: 333160794
• Report Number: 2135147-2024-00268
• Device Sequence Number: 1
• Product Code: LWQ
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: P810002
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Health Professional,Company Representative
• Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date: 03/22/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 01/17/2024
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Catalogue Number: 23AHP-105
• Device Lot Number: 7321789
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 03/19/2024
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 12/20/2019
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Age: 57 YR
• Patient Sex: Male
• Patient Weight: 127 KG