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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical Epic Plus; Heart-Valve, Non-Allograft Tissue

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Abbott Medical Epic Plus; Heart-Valve, Non-Allograft Tissue Back to Search Results
Model Number E200-33M
Medical Device Problem Code Patient-Device Incompatibility (2682)
Health Effect - Clinical Code Endocarditis (1834)
Date of Event 04/30/2026
Type of Reportable Event Serious Injury
Event or Problem Description
Crd_1032 - sh device registry, patient site id: (b)(6), (b)(6).It was reported that on (b)(6) 2024, a 33mm epic plus mitral valve was chosen for implant.It was later reported on (b)(6) 2026, patient had recurrent valvular endocarditis.A decision was made to perform redo-surgical mitral valve replacement with a second 33mm epic plus mitral valve on (b)(6) 2026.
 
Additional Manufacturer Narrative
It is unknown if the device is returning for analysis.A follow-up report will be submitted with all additional relevant information.
 
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Brand Name
Epic Plus
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 Ltda. Reg#3001883144
1301rua profvieira demendonça
bairro engenho nogueira 31.31 0-26
BR   31.310-260
Manufacturer Contact
karen krouse
5050 nathan lane n
plymouth, MN 55442
+1(651)756-5400
MDR Report Key50897526
Report Number2135147-2026-06498
Device Sequence Number12238200
Product Code LWR
UDI-Device Identifier05415067033109
UDI-Public(01)05415067033109(17)270830
Combination Product (Y/N)N
Initial Reporter CountryGM
PMA/510(K) Number
P040021
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2024
Device Explanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Study,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 09/25/2026
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 Model NumberE200-33M
Device Catalogue NumberE200-33M
Device Lot NumberBR00041120
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/03/2026
Initial Report FDA Received Date09/25/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/31/2023
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 Number1
Outcome Attributed to Adverse Event Required Intervention; Hospitalization;
Patient Age65 YR
Patient SexMale
Patient Weight138 LB
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