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U.S. Department of Health and Human Services

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

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ABBOTT MEDICAL MITRACLIP® SYSTEM CLIP DELIVERY SYSTEM; VALVE REPAIR Back to Search Results
Catalog Number UNK CDS
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Mitral Valve Stenosis (1965); Sepsis (2067); Heart Failure/Congestive Heart Failure (4446); Mitral Valve Insufficiency/ Regurgitation (4451); Unspecified Tissue Injury (4559)
Event Date 01/01/2012
Event Type  Injury  
Manufacturer Narrative
The device was not returned for analysis.A review of the lot history record (lhr) and corrective action tracking system for the web (catsweb) database for the reported lot could not be performed as the lot number and part number are unknown.Based on the information reviewed, and due to limited information available from the article the cause for the reported mitral regurgitation (mr), mitral stenosis (ms), tissue injury, heart failure and sepsis could not be determined.The reported mr, ms, tissue injury, heart failure and sepsis are listed in the instructions for use (ifu) and are known possible complication associated with mitraclip procedures.The reported medical intervention was the results of case-specific circumstances.There is no indication of a product quality issue with respect to manufacture, design or labeling.B3, d6: dates estimated.D4: the udi number is not known as the part and lot number were not provided.The additional patient deaths reported in the article are captured under a separate medwatch report number.Literature attachment: "percutaneous transcatheter mitral valve repair: combining devices for challenging anatomies".
 
Event Description
This is filed to report mitral stenosis, recurrent mitral regurgitation, heart failure, sepsis, chordal rupture.This research article was a retrospective study designed to evaluate patients treated with mitral transchatheter edge-to-edge repair (m-teer) needing a combined therapy with occluders.Complications identified in the study included: unexpected medical intervention, recurrent mitral regurgitation (mr), mitral stenosis, chordal rupture, heart failure, sepsis, and death.In conclusion the placement of an interclip or commissural occluder device after m-teer may be a valid option for patients with challenging anatomies and significant symptomatic residual mr after m-teer with no additional options.No additional information was provided.Details are listed in the attached article titled, "percutaneous transcatheter mitral valve repair: combining devices for challenging anatomies".
 
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Brand Name
MITRACLIP® SYSTEM CLIP DELIVERY SYSTEM
Type of Device
VALVE REPAIR
Manufacturer (Section D)
ABBOTT MEDICAL
5050 nathan lane n
plymouth MN 55442
Manufacturer (Section G)
ABBOTT VASCULAR, REG # 3005070406
3885 bohannon drive
menlo park CA 94025
Manufacturer Contact
karen krouse
5050 nathan lane n
plymouth, MN 55442
6517565400
MDR Report Key16776666
MDR Text Key313653407
Report Number2135147-2023-01721
Device Sequence Number1
Product Code NKM
Combination Product (y/n)N
Reporter Country CodeSP
PMA/PMN Number
P100009
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Literature
Reporter Occupation Physician
Type of Report Initial
Report Date 04/20/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue NumberUNK CDS
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 03/31/2023
Initial Date FDA Received04/20/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age74 YR
Patient SexMale
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