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The subject device is not available for evaluation as it remains implanted in the patient.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.
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Per the report received from canada, a 70-year-old patient with a valve model 7300tfx25 implanted in mitral position underwent reintervention for a valve-in-valve procedure after an implant duration of four (4) years and one (1) month due to degeneration leading to severe stenosis (mean gradient of 20mmhg).As reported, the patient presented with dyspnea, chest pain, and heart failure secondary to valvular disease.Approximately two (2) years and six (6) months after the initial implant, the patient was hospitalized with dyspnea and suspected early valve degeneration; however, the condition improved without valve intervention.A 26 mm transcatheter valve was successfully implanted.The patient was reported to be in stable condition following the procedure.
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Information added/updated to section h6 (type of investigation, investigation findings and investigations conclusions) h11: additional manufacturer narrative: the device history record (dhr) was reviewed and shows that this device met all manufacturing specifications for product release prior to distribution.No issues were identified that would have impacted this event.The instructions for use (ifu) have been reviewed, and no inadequacies have been identified with regards to warnings, contraindications, and the directions/conditions for the successful use of the device.The reported type of event is included in the ifu.Structural valve deterioration (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.Since no edwards defect was identified, corrective or preventative actions are not required.
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