EPIC STENTED PORCINE HEART VALVE W/FLEXFIT SYSTEM E100-25M

MAUDE Adverse Event Report

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 2020-03-23 for EPIC STENTED PORCINE HEART VALVE W/FLEXFIT SYSTEM E100-25M manufactured by St. Jude Medical, Brasil Ltda. (pampulha).

Event Text Entries

[187625825] As reported in a research article, two patients had an epic valve was replaced due to regurgitation. The results of the investigation are inconclusive since a valve-in-valve procedure was performed and the device was not accessible for analysis. Based on the information received, the cause of the reported incident could not be conclusively determined.
Patient Sequence No: 1, Text Type: N, H10


[187625826] It was reported through the japanese association for thoracic surgery, 2019. This research article identifying abbotts epic stented, bio prosthesis, 25mm porcine heart valve w/flexfit system that may be related to a recent valve in valve procedure. Specific patient information is documented as (b)(6) years old female. Details are listed in the attached article, its titled "early outcomes of transcatheter mitral valve replacement for degenerated bio prosthesis in japanese (mitral viv study): a four-case series. " the event describes regurgitation was seen in patients implanted with a epic bio prosthesis (25mm), so mitral valve-in-valve was applied. After the previous surgical, left ventricular dysfunction occurred, and intense adhesions around the cardiac apex were seen when a temporary left ventricular assist device was used. Mitral valve in valve procedure was successful and discharged.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3001883144-2020-00020
MDR Report Key9864746
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-23
Date of Report2020-03-23
Date Mfgr Received2020-02-26
Date Added to Maude2020-03-23
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 ContactPAMELA YIP
Manufacturer Street5050 NATHAN LANE N
Manufacturer CityPLYMOUTH MN 55442
Manufacturer CountryUS
Manufacturer Postal55442
Manufacturer Phone6517565400
Manufacturer G1ST. JUDE MEDICAL, BRASIL LTDA. (PAMPULHA)
Manufacturer StreetRUA PROFESSOR JOSE VIEIRA DE MENDON ENGENHO NOGUEIRA - BELO HORIZONTE - MG
Manufacturer CityBELO HORIZONTE 31310-260
Manufacturer CountryBR
Manufacturer Postal Code31310-260
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameEPIC STENTED PORCINE HEART VALVE W/FLEXFIT SYSTEM
Generic NameHEART-VALVE, NON-ALLOGRAFT TISSUE
Product CodeLWR
Date Received2020-03-23
Model NumberE100-25M
Catalog NumberE100-25M
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerST. JUDE MEDICAL, BRASIL LTDA. (PAMPULHA)
Manufacturer AddressRUA PROFESSOR JOSE VIEIRA DE MENDON?A 1301 ENGENHO NOGUEIRA - BELO HORIZONTE - MG BELO HORIZONTE 31310-260 BR 31310-260


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2020-03-23

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