MAUDE Adverse Event Report: ABBOTT MEDICAL TRIFECTA¿ GT VALVE; HEART-VALVE, NON-ALLOGRAFT TISSUE

Catalog Number	TFGT-25A
Medical Device Problem Codes	Material Split, Cut or Torn (4008); Intravalvular regurgitation (4068)
Health Effect - Clinical Codes	Heart Failure/Congestive Heart Failure (4446); Aortic Valve Insufficiency/ Regurgitation (4450)
Date of Event	06/11/2024
Type of Reportable Event	Serious Injury
Event or Problem Description
It was reported that on (b)(6) 2018, a 25mm trifecta gt valve was implanted during an aortic valve implantation.On an unknown date, a 31mm epic valve was implanted during a mitral valve implantation.In (b)(6) 2024, the patient was hospitalized due to heart failure, aortic regurgitation, and mitral regurgitation.On (b)(6) 2024, the trifecta valve was explanted as there were two torn cusps.The trifecta valve was replaced with a 25mm non-abbott aortic valve.On the same date, the epic valve was explanted as the leaflet had wrinkles and was not able to properly maintain coaptation.The epic valve had regurgitation due to wrinkles on the leaflet.The epic valve was replaced with a 31mm non-abbott mitral valve.The patient status was reported as stable.
Additional Manufacturer Narrative
Investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.
Event or Problem Description
It was reported that on (b)(6) 2018, a 25mm trifecta gt valve was implanted during an aortic valve implantation.On an unknown date, a 31mm epic valve was implanted during a mitral valve implantation.In (b)(6) 2024, the patient was hospitalized due to heart failure, aortic regurgitation, and mitral regurgitation.On (b)(6) 2024, the trifecta valve was explanted as there were two torn cusps.The trifecta valve was replaced with a 25mm non-abbott aortic valve.On the same date, the epic valve was explanted as the leaflet had wrinkles and was not able to properly maintain coaptation.The epic valve had regurgitation due to wrinkles on the leaflet.The epic valve was replaced with a 31mm non-abbott mitral valve.The patient status was reported as stable.
Additional Manufacturer Narrative
Explant due to heart failure, aortic regurgitation, mitral regurgitation and leaflet tear was reported.The investigation found that there were tears on all leaflets but there was no inflammation or calcifications.The sewing cuff was intact and there was essentially no pannus formation.There were mild degenerative changes to the leaflet tissue in leaflet 3 including a denatured appearance of the collagen at the tear site.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed, and the product met all specifications.In the absence of any calcification or evidence for infection, the reported event is consistent with a non-calcific leaflet tear.A non-calcific leaflet tear is a form of structural valve deterioration (svd), which is a well-known complication from valve replacement surgery.A non-calcific leaflet tear is commonly attributed to increased operational leaflet stress but may also be related to biological factors which result in tissue degeneration characterized by loss of collagen.In this case, histological evaluation did demonstrate mild degenerative changes including a denatured appearance to the collagen at the tear site, which could have contributed to the formation of the tear.

• Brand Name: TRIFECTA¿ GT VALVE
• Common Device Name: HEART-VALVE, NON-ALLOGRAFT TISSUE
• Manufacturer (Section D): ABBOTT MEDICAL; 5050 nathan lane n; plymouth MN 55442
• Manufacturer (Section G): ST. JUDE MEDICAL #3014918977; edificio #44 calle 0, ave. 2; el coyol alajuela 1897- 4050; CS 1897-4050
• Manufacturer Contact: karen krouse ; 5050 nathan lane n; plymouth, MN 55442 ; 6517565400
• MDR Report Key: 19666499
• Report Number: 2135147-2024-03230
• Device Sequence Number: 12468172
• Product Code: LWR
• UDI-Device Identifier: 05415067018236
• UDI-Public: (01)05415067018236(17)220417(10)6443439
• Combination Product (Y/N): N
• Initial Reporter Country: JA
• PMA/510(K) Number: P100029
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2018
• Device Explanted Year: 2024
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 09/24/2024

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?: Yes
• Operator of Device: Health Professional
• Device Expiration Date: 04/17/2022
• Device Catalogue Number: TFGT-25A
• Device Lot Number: 6443439
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 06/25/2024
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: 06/12/2024
• Supplement Date Received by Manufacturer: 09/10/2024
• Initial Report FDA Received Date: 07/03/2024
• Supplement Report FDA Received Date: 09/24/2024
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 04/18/2018
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention; Hospitalization
• Patient Age: 71 YR
• Patient Sex: Male
• Patient Weight: 69 KG