MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-01-08 for MELODY TRANSCATHER PULMONARY VALVE PB1018 manufactured by Medtronic Heart Valves Division.
[174172598]
Product analysis: the device remains implanted, therefore no product analysis can be performed. Conclusion: without the return of the product, no definitive conclusion can be made regarding the clinical observation. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10
[174172599]
Medtronic received information that four years, nine months and six days following the implant of this transcatheter pulmonary bioprosthetic valve without pre-stenting, patient outgrowth of the device revealed stenosis. Intervention was required for the stenosis. A dilation was occurred with a high-pressure balloon. The dilation revealed a stent fracture of the valve and required the implant of a stent and a second transcatheter pulmonary bioprosthetic valve. No additional adverse patient effects were reported.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2025587-2020-00082 |
MDR Report Key | 9565159 |
Report Source | COMPANY REPRESENTATIVE,FOREIG |
Date Received | 2020-01-08 |
Date of Report | 2020-02-07 |
Date of Event | 2011-09-20 |
Date Mfgr Received | 2020-01-13 |
Device Manufacturer Date | 2006-04-28 |
Date Added to Maude | 2020-01-08 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | PAULA BIXBY |
Manufacturer Street | 8200 CORAL SEA STREET NE |
Manufacturer City | MOUNDS VIEW MN 55112 |
Manufacturer Country | US |
Manufacturer Postal | 55112 |
Manufacturer Phone | 7635055378 |
Manufacturer G1 | MEDTRONIC HEART VALVES DIVISION |
Manufacturer Street | 1851 E DEERE AVE |
Manufacturer City | SANTA ANA CA 92705 |
Manufacturer Country | US |
Manufacturer Postal Code | 92705 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | MELODY TRANSCATHER PULMONARY VALVE |
Generic Name | PULMONARY VALVE PROSTHESIS PERCUTANEOUSLY DELIVERED |
Product Code | NPV |
Date Received | 2020-01-08 |
Model Number | PB1018 |
Catalog Number | PB1018 |
Device Expiration Date | 2007-04-28 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | * |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | MEDTRONIC HEART VALVES DIVISION |
Manufacturer Address | 1851 E DEERE AVE SANTA ANA CA 92705 US 92705 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2020-01-08 |