The certificate of assurance for aortic valve + conduit w/o aml was reviewed.All attributes identified during inspection were documented appropriately on the certificate of assurance.There are no rejectable attributes.No graft specific ncs were identified for this tissue.Per the information received, it was noted ¿not a complaint.From [nurse practitioner]¿was impressed by 25 years of excellent durability.Wanted to know valve size.¿ a potential redo not yet scheduled.Further information is currently not available regarding the implant details or patient medical or surgical history.Additionally, there are no additional details available for the time frame between the original implant in 1998 and now.Per our database, this allograft was implanted in a 44-year-old female on (b)(6) 1998 as an aortic valve.The allograft implanted was an aortic valve and conduit without aml.Dimensions noted to be 19mm x 4.4cm.As of this notification the valve is still implanted, as such, no tissue was returned and no evaluation can be performed at this time.The patient may need to undergo an additional surgical procedure, as the valve is now presenting with structural valve deterioration.The standard cryopreserved human tissue a/dfmea and pfmea were reviewed.The reported event is addressed.No tissue was returned for evaluation.There is insufficient information to determine a root cause for the reported structural valve deterioration.However, occurring at 25 years post- implant, the graft can be considered to have performed within expectations.Adequate precautions are provided in the instructions for use.The reported event will continue to be monitored for trends.No updates to the rmf are needed in response to this complaint.Risk has been reduced as low as possible and overall residual risk is acceptable.This report is being submitted as required by federal regulations and does not constitute an admission that the device caused or contributed to the reported event.Furthermore, this report reflects the event as alleged by the complainant and does not imply that the information reported to artivion- formerly cryolife/jotec is accurate or has been confirmed by artivion.
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