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The following sections were updated/corrected/added: b4, g3, g6, h2, h6, and h11.The complaint for valve interacts with conduction system was confirmed based on the event description provided by the clinical specialist.Based on the device history record (dhr) review, there were no non-conformances related to the issue observed and the device passed all manufacturing specifications.Available information suggests the guide wire and the valve interaction with the native conduction likely contributed to the event.The av node is in septal position of the valve, this valve morphology may have predisposed the patient to suffer a conduction disturbance.Therefore, the most likely cause of this event is due to patient conditions.Since there are no confirmed product or labeling/ifu/training material non-conformances affecting distributed product and no other triggers have been met, no preventative or corrective actions were required.
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