CRYOVALVE SG- PULMONARY VALVE AND CONDUIT SGPV00

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 02 report with the FDA on 2014-07-15 for CRYOVALVE SG- PULMONARY VALVE AND CONDUIT SGPV00 manufactured by Cryolife, Inc..

Event Text Entries

[4597725] The patient presented with unacceptable hemodynamics: severe pulmonary insufficiency, chronic chest pain, palpitation, syncope and exercise intolerance. Reoperation/repair on homograft valve. The allograft was implanted on (b)(6) 2002 at (b)(6) for tetralogy of fallot (tof) right ventricular outflow tract (rvot) reconstruction. During a post-op follow up on (b)(6) 2011 an transthoracic echocardiogram was performed and the pulmonary regurgitation was rated as moderate (2+). On the (b)(6) 2011 the insufficiency was found to be sub-valve stenosis and the patient had unacceptable hemodynamics. Additional observations were pulmonary insufficiency, chronic chest pain, palpitation, syncope and exercise intolerance. A reoperation/repair on homograft valve was performed.
Patient Sequence No: 1, Text Type: D, B5


[12129587] This investigation is currently ongoing. Any additional information will be provided in the follow-up report.
Patient Sequence No: 1, Text Type: N, H10


[23566719] The patient presented with unacceptable hemodynamics: severe pulmonary insufficiency, chronic chest pain, palpitation, syncope, and exercise intolerance. The patient underwent reoperation/repair on the allograft heart valve. The sid number is (b)(4) and the donor number is (b)(6). The allograft was implanted on (b)(6) 2002 at (b)(6) for tetralogy of fallot (tof) right ventricular outflow tract (rvot) reconstruction. During a post-op follow up on (b)(6) 2011 and transthoracic echocardiogram was performed and the pulmonary regurgitation was rated as moderate (2+). Additional observations were pulmonary insufficiency, chronic chest pain, palpitation, syncope, and exercise intolerance. On (b)(6) 2011, the patient had a reoperation on the valve, which is indicated as a melody valve implant for subvalvular stenosis. The cryovalve sg pulmonary valve instructions for use provides adequate listing of adverse events reported with the use of cardiac allografts: calcification, degeneration, and valvular and conduit stenosis. A reoperative procedure for insufficiency and stenosis 9. 5 years after pulmonary valve implant for correction of tof in a (b)(6) patient is not an unexpected outcome.
Patient Sequence No: 1, Text Type: N, H10


[23566720] The patient presented with unacceptable hemodynamics: severe pulmonary insufficiency, chronic chest pain, palpitation, syncope and exercise intolerance. Reoperation/repair on homograft valve. The allograft was implanted on (b)(6) 2002 at (b)(6) in (b)(6) for tetralogy of fallot (tof) right ventricular outflow tract (rvot) reconstruction. During a post-op follow up on (b)(6) 2011 an transthoracic echocardiogram was performed and the pulmonary regurgitation was rated as moderate (2+). On the (b)(6) 2011 the insufficiency was found to be sub-valve stenosis and the patient had unacceptable hemodynamics. Additional observations were pulmonary insufficiency, chronic chest pain, palpitation, syncope and exercise intolerance. A reoperation/repair on homograft valve was performed.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1063481-2014-00029
MDR Report Key3935887
Report Source02
Date Received2014-07-15
Date of Report2014-07-02
Date of Event2011-12-21
Date Mfgr Received2014-07-02
Date Added to Maude2014-07-15
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA0
Report to FDA0
Event Location0
Manufacturer ContactSANDRA O'REILLY
Manufacturer Street1655 ROBERTS BLVD., NW
Manufacturer CityKENNESAW GA 30144
Manufacturer CountryUS
Manufacturer Postal30144
Manufacturer Phone7704193355
Manufacturer G1CRYOLIFE, INC.
Manufacturer Street1655 ROBERTS BLVD., NW
Manufacturer CityKENNESAW GA 30144
Manufacturer CountryUS
Manufacturer Postal Code30144
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCRYOVALVE SG- PULMONARY VALVE AND CONDUIT
Generic NameHEART VALVE ALLOGRAFT
Product CodeOHA
Date Received2014-07-15
Model NumberSGPV00
Lot Number7239085
ID NumberDONOR NUMBER: 57390
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCRYOLIFE, INC.
Manufacturer Address1655 ROBERTS BLVD., NW KENNESAW GA 30144 US 30144


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2014-07-15

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