| Model Number |
NVTR-27 |
| Medical Device Problem Code |
Migration or Expulsion of Device (1395)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
07/08/2026
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Type of Reportable Event
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Serious Injury
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Event or Problem Description
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It was reported that on (b)(6) 2026, a 27mm navitor valve was selected for implant using a flexnav delivery system (ds).The patient's aortic valve angle was 41 degrees.Pre-implant balloon aortic valvuloplasty (pre-bav) was performed by using a 20mm, non-abbott balloon.During the procedure, at 80 percent, the valve was placed at a depth of 3mm then the valve was able to be implanted.Upon removal of the ds, nosecone was observed to be entangled with the valve resulting in migration towards the aorta.A second 27mm, navitor valve was implanted inside the index valve to resolve the event.The patient remained hemodynamically stable throughout the procedure and there was no clinically significant delay reported.The implanter believed the cause of migration to be due to the nose cone entanglement.The patient was reportedly discharged.
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Event or Problem Description
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It was reported that on (b)(6) 2026, a 27mm navitor valve was selected for implant using a flexnav delivery system (ds).The patient's aortic valve angle was 41 degrees.Pre-implant balloon aortic valvuloplasty (pre-bav) was performed by using a 20mm, non-abbott balloon.During the procedure, at 80 percent, the valve was placed at a depth of 3mm then the valve was able to be implanted.Upon removal of the ds, nosecone was observed to be entangled with the valve resulting in migration towards the aorta.A second 27mm, navitor valve was implanted inside the index valve to resolve the event.The patient remained hemodynamically stable throughout the procedure and there was no clinically significant delay reported.The implanter believed the cause of migration to be due to the nose cone entanglement.The patient was reportedly discharged.
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Additional Manufacturer Narrative
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The device remains implanted in patient.The device will not be returned for evaluation.Investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.
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Additional Manufacturer Narrative
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An event of the valve migrating after implant was reported.A returned device assessment could not be performed as the device remains implanted and was not returned for analysis.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed, and the product met all specifications.The cause of the reported migration appears to be the unintentional interaction between the valve and nosecone, but the cause of this interaction could not be conclusively determined.There is no indication of a product quality issue with respect to labeling design or manufacturing of the device.
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Search Alerts/Recalls
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