|
H11.Additional narrative/data: the device was not returned for evaluation, as it remains implanted.The investigation is still in progress; therefore, a conclusion has yet to be established.A supplemental report will be submitted accordingly upon investigation completion.Edwards will continue to review and monitor all reported events.Trends are monitored on a monthly basis and if action is required, appropriate investigation will be performed.
|
|
H11: additional manufacturer narrative: updated sections b5, b7, g3, g6, h2, h6 (type of investigation, investigation findings, investigation conclusions).Svd is a logical and expected consequence of the chemical, mechanical, and immunological processes associated with bhv implantation.The common endpoint of all these factors is calcification and degradation.Svd is an acquired condition, intrinsic to bioprosthetic valves, characterized by deterioration of the leaflets or supporting structures, leading to thickening, calcification, tearing, or disruption of the prosthetic valve materials.These changes result in valvular dysfunction manifesting as stenosis and/or regurgitation with a consequent drop in hemodynamic efficacy of the valve.Prior investigations and extensive literature review have shown that svd is predominantly related to patient factors and implant duration rather than to manufacturing issues.Events related to device design, manufacturing, or use error tend to manifest at an earlier implant duration.There is no evidence to suggest a manufacturing defect caused or contributed to the reported event.Based on the information available, the root cause remains indeterminable as no patient or procedural factors known to cause or contribute to svd were reported.Per the instructions for use (ifu), structural valve deterioration (svd) is a known potential risk associated with bioprosthetic heart valves.The device history record (dhr) review was completed and this device passed all manufacturing and sterilization inspections prior to release for distribution.There were no issues identified that would have impacted this event.Edwards will continue to review and monitor all reported events.Trends are monitored on a monthly basis and if action is required, appropriate investigation will be performed.
|
|
It was reported that a patient with a 33mm 7300tfx mitral valve underwent a valve-in-valve procedure after an implant duration of four (4) years and 10 months due to calcification, severe stenosis and regurgitation.The patient presented with dyspnea and heart failure.The procedure was performed with a 29mm 9755rsltfx transcatheter valve.The patient was in stable condition post procedure.Per medical records, intraoperatively, prosthetic valve leaflets are thickened with fusion noted between the posterior medial and posterior lateral oriented valve leaflet.This results in reduced leaflet excursions.Consistent with bioprosthetic valve degeneration with bioprosthetic valve stenosis.The prosthetic aortic valve 25 mm magna pericardial noted to be well-seated, leaflets appear normal in thickness with normal leaflet mobility.
|