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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR MITRACLIP SYSTEM CLIP DELIVERY SYSTEM; VALVE REPAIR

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ABBOTT VASCULAR MITRACLIP SYSTEM CLIP DELIVERY SYSTEM; VALVE REPAIR Back to Search Results
Catalog Number UNK CDS
Device Problems Positioning Failure (1158); Incomplete Coaptation (2507)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 05/01/2018
Event Type  malfunction  
Manufacturer Narrative
Date of event - estimated.The unique device identifier (udi) is unknown because the part and lot numbers were not provided.Implant date - estimated.The clip remains in patient.The device will not be returned for evaluation.Investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.The deaths and adverse events mentioned and in the article are filed under different mfr report numbers.Literature title :prognostic value of pre-operative atrial fibrillation in patients with secondary mitral regurgitation undergoing mitraclip implantation.
 
Event Description
This is filed to report the single leaflet device attachment (slda).It was reported through a research article identifying mitraclip that may be related to the following: patient deaths, heart failure, re-hospitalization, medical intervention, and surgical intervention.Device issues include, single leaflet device attachment (slda) and inability to grasp.Details are listed in the attached article, titled ¿prognostic value of pre-operative atrial fibrillation in patients with secondary mitral regurgitation undergoing mitraclip implantation.¿ please see article for additional information.
 
Manufacturer Narrative
The devices were not returned for analysis.A review of the lot history records could not be performed due to unknown lot information.Additionally, a review of the complaint histories could not be performed due to unknown lot information.Based on the information reviewed, the cause for the reported single leaflet device attachments/slda and positioning failures / issues - leaflet grasping could not be determined.There is no indication of a product issue with respect to manufacture, design, or labeling.Na.
 
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Brand Name
MITRACLIP SYSTEM CLIP DELIVERY SYSTEM
Type of Device
VALVE REPAIR
Manufacturer (Section D)
ABBOTT VASCULAR
26531 ynez rd.
temecula CA 92591 4628
MDR Report Key11189946
MDR Text Key227736236
Report Number2024168-2021-00551
Device Sequence Number1
Product Code NKM
Combination Product (y/n)N
PMA/PMN Number
P100009
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,l
Type of Report Initial,Followup
Report Date 02/10/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNK CDS
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 01/04/2021
Initial Date FDA Received01/18/2021
Supplement Dates Manufacturer Received01/28/2021
Supplement Dates FDA Received02/10/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Age71 YR
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