FDA Approves Expanded Use for Edwards’ Sapien 3 Device

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FDA has approved an expanded indication for Edwards Lifesciences’ Sapien 3 Transcatheter Heart Valve for patients with symptomatic heart disease due to failure of a previously placed bioprosthetic aortic or mitral valve whose risk of death or severe complications from repeat surgery is high. “For the first time, a regulatory agency is approving a transcatheter heart valve as a valve-in-valve treatment when bioprosthetic mitral or aortic valves fail in patients who are at high or greater risk of complications from repeat surgery,” CDRH Division of Cardiovascular Devices director Bram Zuckerman is quoted in a release as saying.

 

Expanded approval was based on data from the Transcatheter Valve Therapy Registry, a partnership of the American College of Cardiology and the Society of Thoracic Surgeons. “The registry data showed that more than 85% of patients who underwent aortic or mitral valve-in-valve procedures experienced clinically meaningful improvement in their heart failure symptoms 30 days after the procedure, as shown by their New York Heart Association (NYHA) Classifications.”


Previously, the device was approved as an alternative option to surgical aortic valve replacement for patients with native aortic stenosis whose risk for death or severe complications from surgery is high or greater. In 2016, the agency expanded its use to include patients who are at intermediate surgical risk for death or complications.

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