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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL PUERTO RICO, INC. TAILOR FLEXIBLE RING AND BAND; RING, ANNULOPLASTY

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ST. JUDE MEDICAL PUERTO RICO, INC. TAILOR FLEXIBLE RING AND BAND; RING, ANNULOPLASTY Back to Search Results
Model Number CVD0036
Device Problems Backflow (1064); Biocompatibility (2886); Improper Flow or Infusion (2954)
Patient Problems Atrial Fibrillation (1729); Mitral Regurgitation (1964); Pleural Effusion (2010)
Event Type  Injury  
Manufacturer Narrative
As reported in a research article, out of 95 patients implanted with an annuloplasty ring, 10 were implanted with a tailor flexible ring.Complications included 8 patients with low cardiac output syndrome, 2 with a blood transfusion, 1 with a pleural effusion, 2 which required surgical intervention due to bleeding, 8 which had a new onset of atrial fibrillation, 1 patient who required a pacemaker, 3 which needed reoperation due to mitral valve regurgitation and 17 patients who had mitral regurgitation.It was not reported if the patients who experienced complications were implanted with the tailor flexible ring.The results of the investigation are inconclusive since the device was not returned for analysis.Based on the information received, the cause of the reported incident could not be conclusively determined.
 
Event Description
It was reported in an article titled, "excellent long-term results with minimally invasive edge-to-edge repair in myxomatous degenerative mitral valve regurgitation¿ that between december 1999 and december 2006, 97 patients with severe myxomatous mitral regurgitation underwent mitral repair.95 patients had an annuloplasty ring implanted with seguin semi rigid ring in 85 patients, and tailor flexible posterior ring in 10 other patients.Complications post procedure included pleural effusion, surgical intervention and blood transfusion due to bleeding, reoperation due to mitral valve regurgitation, new onset of atrial fibrillation, pacemaker implantation, low cardiac output syndrome, and mitral regurgitation during follow up.Additional information was not obtained.
 
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Brand Name
TAILOR FLEXIBLE RING AND BAND
Type of Device
RING, ANNULOPLASTY
Manufacturer (Section D)
ST. JUDE MEDICAL PUERTO RICO, INC.
p.o. box 998
lot 20 b st.
caguas, puerto rico 00725
RQ  00725
Manufacturer (Section G)
ST. JUDE MEDICAL PUERTO RICO, INC.
p.o. box 998
lot 20 b st.
caguas, puerto rico 00725
RQ   00725
Manufacturer Contact
pamela yip
5050 nathan lane n
plymouth, MN 55442
6517565400
MDR Report Key10003091
MDR Text Key189708578
Report Number2648612-2020-00049
Device Sequence Number1
Product Code KRH
Combination Product (y/n)N
Reporter Country CodeIT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,l
Reporter Occupation Physician
Type of Report Initial
Report Date 04/27/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/27/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? No
Device Operator Health Professional
Device Model NumberCVD0036
Device Catalogue NumberCVD0036
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received04/01/2020
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) Hospitalization; Life Threatening; Other; Required Intervention;
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