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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SORIN GROUP MITROFLOW AORTIC PERICARDIAL VALVE; HEART-VALVE, NON-ALLOGRAFT TISSUE

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SORIN GROUP MITROFLOW AORTIC PERICARDIAL VALVE; HEART-VALVE, NON-ALLOGRAFT TISSUE Back to Search Results
Device Problems Backflow (1064); Obstruction of Flow (2423); Therapeutic or Diagnostic Output Failure (3023)
Patient Problems Aortic Valve Stenosis (1717); Hematoma (1884); Aortic Valve Insufficiency/ Regurgitation (4450)
Event Type  Injury  
Event Description
Medtronic received information that a 23 mm transcatheter bioprosthetic valve was implanted due to a failed 23 mm sorin mitroflow aortic valve approximately eight years and ten months post - implant.The failure mechanism of the sorin was aortic regurgitation and aortic stenosis.During the second valve implant procedure, it was reported that the abbott vascular prostar closure device failed and resulted in a right iliac artery hematoma.Subsequently, a covered stent was implanted.(b)(4).This report reflects information received by fda in the form of a notification per 803.22 (b)(2).
 
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Brand Name
MITROFLOW AORTIC PERICARDIAL VALVE
Type of Device
HEART-VALVE, NON-ALLOGRAFT TISSUE
Manufacturer (Section D)
SORIN GROUP
MDR Report Key17532625
MDR Text Key321140018
Report NumberMW5139532
Device Sequence Number1
Product Code LWR
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Other
Type of Report Initial
Report Date 07/28/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/12/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? No
Patient Sequence Number1
Treatment
ABBOTT VASCULAR PROSTAR XL.
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