MOSAIC AORTIC BIOPROSTHETIC HEART VALVE 30519

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-06 for MOSAIC AORTIC BIOPROSTHETIC HEART VALVE 30519 manufactured by Medtronic Heart Valves Division.

Event Text Entries

[144244578] Citation: saxon j. Complications of bioprosthetic valve fracture as an adjunct to valve-in-valve tavr. Structural heart. 27 feb 2019; 3:2, 92-99, doi: 10. 1080/24748706. 2019. 1578446. Published online: 27 feb 2019. Earliest date of publication used for event date. No unique device identifier (serial/lot) numbers were provided; without this information it could not be determined whether these observations have been previously reported. Without return of the product no definitive conclusion can be made regarding the clinical observations. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[144244579] Medtronic received information via literature regarding the use of and complications associated with bioprosthetic valve fracturing (bvf) to facilitate valve-in-valve transcatheter aortic valve replacement (viv tavr). All data were collected from case reports. The study population included 8 patients (predominantly female, mean age 76 years), 2 of which were implanted with medtronic mosaic valves (no serial numbers provided) and 6 received corevalve evolut r valves during viv tavr (no serial numbers provided). Among all mosaic valve patients, adverse events included: diastolic heart failure and aortic stenosis. Based on the available information medtronic product was directly associated with the adverse events.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2025587-2019-01478
MDR Report Key8584598
Date Received2019-05-06
Date of Report2019-05-06
Date of Event2019-02-27
Date Mfgr Received2019-04-09
Date Added to Maude2019-05-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactPAULA BIXBY
Manufacturer Street8200 CORAL SEA STREET NE
Manufacturer CityMOUNDS VIEW MN 55112
Manufacturer CountryUS
Manufacturer Postal55112
Manufacturer Phone7635055378
Manufacturer G1MEDTRONIC HEART VALVES DIVISION
Manufacturer Street1851 E DEERE AVE
Manufacturer CitySANTA ANA CA 92705
Manufacturer CountryUS
Manufacturer Postal Code92705
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameMOSAIC AORTIC BIOPROSTHETIC HEART VALVE
Generic NameTIMER, CLOT, AUTOMATED
Product CodeGKN
Date Received2019-05-06
Model Number30519
Catalog Number30519
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC HEART VALVES DIVISION
Manufacturer Address1851 E DEERE AVE SANTA ANA CA 92705 US 92705


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening; 2. Required No Informationntervention 2019-05-06

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