It was reported on (b)(6) 2022, a mitraclip procedure was performed to treat functional mitral regurgitation (mr) with a grade of 4.One ntw clip was implanted, reducing mr to a grade of 1-2.Roughly one year post procedure, the patient returned to the hospital.Echocardiography showed the implanted clip detached from the posterior leaflet and remained attached to the anterior leaflet (single leaflet device attachment/slda), causing mr to return to a grade of 4.It was noted a new posterior prolapse was observed.On (b)(6) 2024, an additional mitraclip procedure was performed.To stabilize the slda, two additional clips were implanted, reducing mr to a grade of 2.
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The device was not returned for analysis.A review of the lot history record identified no manufacturing nonconformities issued to the reported lot that would have contributed to the reported event.Additionally, a review of the complaint history identified no similar complaints from the lot.All available information was investigated and a cause for the reported slda cannot be determined.Mitral valve insufficiency/ regurgitation and tissue injury appear to be due to the slda.Mitral regurgitation and tissue damage are listed in the instructions for use (ifu) as known possible complications associated with mitraclip procedures.Unexpected medical intervention and hospitalization were a result of case-specific circumstances.There is no indication of a product issue with respect to manufacture, design or labeling.
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