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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL REGENT HEART VALVE WITH FLEX CUFF; HEART-VALVE, MECHANICAL

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ABBOTT MEDICAL REGENT HEART VALVE WITH FLEX CUFF; HEART-VALVE, MECHANICAL Back to Search Results
Catalog Number 17AGFN-756
Device Problem Patient Device Interaction Problem (4001)
Patient Problem Obstruction/Occlusion (2422)
Event Date 02/20/2024
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) 2024.A 17mm sjm regent heart valve w/ flex cuff was chosen for a aortic valve replacement (avr).The annular dimension of the native valve was approximately 17¿~19¿ by echocardiography.During procedure, the device did not fall into the annulus and blocked the right coronary artery (rca).There was a strong resistance noted while parachuting the valve into the annulus.The device was removed interprocedurally.An annulus dilation was performed.A new 19mm non-abbott valve was implanted.A prolonged procedure time required.The patient was reported stable.
 
Manufacturer Narrative
An event of device did not fall into the annulus and blocked the right coronary artery was reported.It was also reported that the resistance when parachuting the valve into the annulus.Additionally valve was explanted and a replacement non-abbott valve was used to complete the procedure.A returned device assessment could not be performed as the device 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 the information received, the cause of the 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.
 
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Brand Name
REGENT HEART VALVE WITH FLEX CUFF
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 Key18918960
MDR Text Key337844335
Report Number2135147-2024-01171
Device Sequence Number1
Product Code LWQ
UDI-Device Identifier05414734005791
UDI-Public(01)05414734005791(17)281003(10)C00015987
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
P810002
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 04/04/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/16/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number17AGFN-756
Device Lot NumberC00015987
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received04/01/2024
Was Device Evaluated by Manufacturer? No
Date Device Manufactured10/05/2023
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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