Model Number PB1018 |
Device Problems
Bent (1059); Gradient Increase (1270)
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Patient Problems
Corneal Pannus (1447); Calcium Deposits/Calcification (1758); Endocarditis (1834); Mitral Regurgitation (1964); Mitral Valve Stenosis (1965)
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Event Date 04/07/2015 |
Event Type
Injury
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Manufacturer Narrative
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Product analysis: the product has not been returned for analysis, therefore no product analysis can be performed.Conclusion: without return of the product, no definitive conclusions could be drawn regarding the clinical observation.(b)(4).A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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Event Description
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Medtronic received information that two years following the implant of the second valve, that had been implanted valve-in-valve into another transcatheter bioprosthetic pulmonary valve, antibiotics were prescribed for culture-negative presumed endocarditis associated with acute severe valve obstruction then fever for several days.Two years and eleven days following the implant of the second valve, both valves were explanted and replaced with a non-medtronic mechanical valve due to severe mitral stenosis (mean gradient of 25-30 mmhg) and severe mitral regurgitation that resulted from an acute perforation of the valve leaflet.The cause of the perforation was not known.Upon explant, one of the distal struts with tissue was sectioned off to send for cultures by hospital pathology.No further adverse patient effects were reported.
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Manufacturer Narrative
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Upon receipt at medtronic¿s quality laboratory, two valves were returned (valve in valve).Some of the inflow stent crowns were noted to be bent.The condition of the leaflets and commissures of the valves could not be determined due to being valve in valve.White glistening host tissue (pannus) was found attached on both outflow and inflow crowns of the valves, fusing the devices together.A piece of host tissue extended out of the outflow crowns and no vegetation was observed.Radiography showed calcification on the leaflets and embedded in the pannus found outside the valve.The presence of stent fractures could not be confirmed due to the overlapping stent frames.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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Manufacturer Narrative
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If information is provided in the future, a supplemental report will be issued.
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Search Alerts/Recalls
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