Citation: yamashita y.; et al.Comparison of cardiac energetics after transcatheter and surgical aortic valve replacements.Interact cardiovasc thorac surg.2019 apr 1;28(4):587-593.Doi: 10.1093/icvts/ivy292 pmid: (b)(4).Advance access publication 25 october 2018 earliest date of publication used for date of event.Medtronic products referenced: corevalve (pma# p130021, product code: npt); mosaic (pma# p990064, product code: dye).Earliest approved product used for product code and pma#.No unique device identifier (serial/lot) numbers were provided; without this information it could not be determined whether these observations have been previously reported.Without return of the product no definitive conclusion can be made regarding the clinical observations.Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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Medtronic received information via literature comparing levels of cardiac and hemodynamic improvement between patients who underwent surgical versus transcatheter aortic valve replacement (savr vs.Tavr).All data were collected from a single japanese medical center between january 2012 and september 2016.The study population included 117 patients who were predominantly female with a mean age of 81 years.Multiple manufacturer¿s devices were implanted in the study population.Among all patients, nine underwent tavr using medtronic corevalve bioprosthetic valves and one patient was surgically implanted with a medtronic mosaic bioprosthetic valve (unique device identifier numbers not provided).Among all tavr patients, adverse events included: atrioventricular block requiring permanent pacemaker implantation (ppmi) and significant aortic regurgitation.Among all savr patients, adverse events included: permanent pacemaker implantation (ppmi); bleeding requiring surgical re-exploration and cerebral infarction.Based on the available information medtronic product may have been associated with the adverse events.No additional adverse patient effects or product performance issues were reported.
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