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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL TRIFECTA¿ GT VALVE; HEART-VALVE, NON-ALLOGRAFT TISSUE

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ABBOTT MEDICAL TRIFECTA¿ GT VALVE; HEART-VALVE, NON-ALLOGRAFT TISSUE Back to Search Results
Catalog Number TFGT-25A
Device Problems Degraded (1153); Device Stenosis (4066)
Patient Problems Angina (1710); Aortic Valve Stenosis (1717); Dyspnea (1816); Fatigue (1849)
Event Date 12/23/2023
Event Type  Injury  
Manufacturer Narrative
Medwatch report #: mw5150926 investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.
 
Event Description
Medwatch report #: mw5150926 received regarding a 25mm trifecta bioprosthetic aortic valve experienced episodes of dizziness, chest pain, arm pain, shortness of breath, lethargic, unable to lie down.It passed.Then, happened again a few days later and was taken to er.Sent home the same day.Worsening episodes to include belching, and not hungry.Returned to hospital (b)(6) 2024.Diagnosed (b) (6) 2024 with severe prosthesis stenosis of a st.Jude trifecta bioprosthetic aortic valve.Patient was transferred to (b)(6) and is awaiting possible tavr procedure currently.It was reported that on 26 august 2016, a 25mm trifecta valve was implanted.On (b)(6) 2023, the patient experienced episodes of dizziness, angina, arm pain, dyspnea, lethargy, unable to lie down.The symptoms eventually passed but then came back a few days later so the patient was taken to the emergency room.The patient returned home the same day.Symptoms began to then include belching and reduced appetite.On (b)(6) 2024, the patient was hospitalized and diagnosed with severe aortic stenosis.Patient was transferred and is awaiting possible intervention.
 
Manufacturer Narrative
An event of severe aortic stenosis was reported.A more comprehensive assessment, including histopathological examination of the valve tissue could not be performed as the device remains implanted and was not returned for analysis.The device history record was also reviewed to ensure that each manufacturing and inspection operation was performed, and the product met all specifications.Based on received information, the cause of reported incident could not be conclusively determined.There is no indication of a product quality issue with respect to labeling design or manufacturing of the device.Attachment medwatch report #: mw5150926.
 
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Brand Name
TRIFECTA¿ GT VALVE
Type of Device
HEART-VALVE, NON-ALLOGRAFT TISSUE
Manufacturer (Section D)
ABBOTT MEDICAL
5050 nathan lane n
plymouth MN 55442
Manufacturer (Section G)
ST. JUDE MEDICAL #3014918977
edificio #44 calle 0, ave. 2
el coyol alajuela 1897- 4050
CS   1897-4050
Manufacturer Contact
karen krouse
5050 nathan lane n
plymouth, MN 55442
6517565400
MDR Report Key18874523
MDR Text Key337318204
Report Number2135147-2024-01056
Device Sequence Number1
Product Code LWR
UDI-Device Identifier05415067018236
UDI-Public(01)05415067018236(17)180209(10)5403737
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
P100029
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type User Facility
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 04/22/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/11/2024
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Expiration Date02/09/2018
Device Catalogue NumberTFGT-25A
Device Lot Number5403737
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received04/09/2024
Was Device Evaluated by Manufacturer? No
Date Device Manufactured02/10/2016
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Hospitalization;
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