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Epic™ ESP200-25Recalls & reported problems

St. Jude Medical, Inc. · Stented Tissue Valve · Class 3 · Implant

All models of Epic (26)

Data updated Oct 16, 2026 from official FDA records · Editorial policy

Adverse event reports
7
Deaths reported
0
Injuries reported
6
Recalls naming it
0

Summary

The FDA's MAUDE database contains 7 adverse event reports that list this exact device (DI 05415067033147), received between Mar 9, 2022 and Aug 7, 2026 — classified as 6 injuries, 1 malfunction.

The most frequently reported specific device problem is “Incomplete Coaptation” (2 reports).

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 16, 2026.

Reports received per month

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 1 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 1 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 1 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 1 reportsMay 2026: 1 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 1 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520261
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Adverse Event Without Identified Device or Use Problem3
  • Incomplete Coaptation2
  • Intravalvular regurgitation2
  • Device Stenosis1
  • Insufficient Device Problem Information1

Patient problems

  • Aortic Valve Insufficiency/ Regurgitation3
  • No Clinical Signs, Symptoms or Conditions2
  • Aortic Valve Stenosis1
  • Atrial Fibrillation1
  • Heart Block1
  • Hemorrhage/Blood Loss/Bleeding1
  • Pneumonia1
  • Pulmonary Edema1

Recent adverse event reports

The 7 most recent of 7 reports, in the reporter's own words as published by the FDA.

  • InjuryAug 7, 2026Intravalvular regurgitation

    It was reported that on (b)(6) 2026, a 25mm Epic Plus Supra Valve was implanted in the patient. Three days after the procedure, the patient presented with valve insufficiency and a central regurgitation was noted on the follow up imaging. A transcatheter aortic valve implantation (TAVI) procedure was performed on (b)(6) 2026. The patient was reported stable.

    Patient problems: Aortic Valve Insufficiency/ Regurgitation

    MAUDE report 50176727 ↗
  • InjuryMay 19, 2026Adverse Event Without Identified Device or Use Problem

    CLINICAL INFORMATION: CRD_1032 - SH DEVICE REGISTRY, PATIENT SITE (B)(6)- (B)(4). IT WAS REPORTED THAT ON (B)(6) 2025, A 15MM EPIC PLUS SUPRA VALVE WAS IMPLANTED IN THE PATIENT. AFTER THE PROCEDURE, THE PATIENT HAD A HEART BLOCK AND PACING WAS NEEDED. THE PATIENT WAS RETURNED BACK TO SINUS RHYTHM. DURING THE EARLY POSTOPERATIVE PHASE DUE TO POST-IMPLANT EDEMA/SWELLING IN THE ANNULAR REGION CAUSING CONDUCTION PROBLEMS ¿ RESOLVED AFTER EDEMA REGRESSION WITHOUT THE NEED FOR INTERVENTION. THE PATIENT HAD PNEUMONIA AND TREATED WITH ANTIBIOTICS. DURING THE POSTOPERATIVE COURSE, POTENTIALLY DUE TO HYPOVOLEMIA RESULTING IN TEMPORARY ACUTE ON CHRONIC (MILD) KIDNEY FAILURE. PNEUMONIA OCCURRED DUE TO SUPERINFECTION AND CLINICAL SYMPTOMS. ON (B)(6) 2026, THE PATIENT PRESENTED WITH A PAROXYSMAL ATRIAL FIBRILLATION (AF) AND GOT TREATED WITH AMIODARONE AND BETABLOCKER. FIVE DAYS AFTER THE PROCEDURE, THE PATIENT HAD AN ACUTE KIDNEY INJURY AND TREATED WITH VOLUME REPLACEMENT. THE PATIENT WAS REPORTED DISCHARGED.

    Patient problems: Atrial Fibrillation; Heart Block; Pneumonia; Pulmonary Edema; Renal Failure

    MAUDE report 25225599 ↗
  • MalfunctionApr 10, 2026Incomplete Coaptation

    IT WAS REPORTED THAT ON (B)(6) 2026, A 25MM EPIC PLUS SUPRA VALVE WAS CHOSEN FOR A VALVE REPLACEMENT SURGERY. DURING PROCEDURE, A FAILURE IN LEAFLET COAPTATION HAD OCCURRED, ALLOWING VALVULAR INSUFFICIENCY. A NEW VALVE WAS OPENED AND COMPLETED THE SURGERY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24845061 ↗
  • InjurySep 18, 2025Device Stenosis; Intravalvular regurgitation; Device Stenosis; Intravalvular regurgitation

    IT WAS REPORTED THAT ON (B)(6) 2025, A 25 MM EPIC PLUS SUPRA VALVE WAS IMPLANTED IN THE PATIENT. ON AN UNKNOWN DATE, THE PATIENT SHOWED INCREASED PRESSURE GRADIENT AND A REGURGITATION WAS CONFIRMED BY ECHOCARDIOGRAPHY. THE LEAK OBSERVED FROM THE CUFF. THE VALVE WAS EXPLANTED AND A NEW 25 MM NON-ABBOTT VALVE WAS IMPLANTED. THE PATIENT WAS REPORTED DISCHARGED.

    Patient problems: Aortic Valve Insufficiency/ Regurgitation; Aortic Valve Stenosis

    MAUDE report 23084414 ↗
  • InjuryJan 3, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT ON 11 DECEMBER 2024, A 25MM EPIC PLUS SUPRA VALVE WAS SELECTED FOR IMPLANT. THE VALVE WAS IMPLANTED. HOWEVER, "OWING TO FRAILITY OF AORTA PATIENTS AORTIC ANNULUS WAS GIVING AWAY IT MIGHT BE DUE TO STENTTRAMIC STIFFNESS," CARDIOPLEGIA WAS ADMINISTERED AND THE VALVE WAS EXPLANTED. IT WAS FURTHER DESCRIBED THAT THE PATIENT'S AORTA WAS FOUND TO BE TOO FRAGILE TO STITCH THE EPIC VALVE INTO PLACE. THE PATIENT THEN UNDERWENT PERICARDIAL RE-CONSTRUCTION OF THE ANNULUS IN A CONTINUOUS FASHION WITH A 5-0 PROLENE SUTURE. THEN, A NEW 10MM EPIC PLUS SUPRA VALVE WAS SUCCESSFULLY IMPLANTED. A DELAY IN OVERALL PROCEDURE TIME WAS REPORTED. THE PATIENT STATUS WAS REPORTED AS UNKNOWN.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21068731 ↗
  • InjurySep 20, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem

    IT WAS REPORTED THAT ON (B)(6) 2024, A 25MM EPIC PLUS VALVE WAS IMPLANTED DURING AN AORTIC VALVE REPLACEMENT. ON (B)(6) 2024, THE VALVE WAS EXPLANTED AS THERE WAS CONCOMITANT BLEEDING FROM THE VALSALVA DAMAGE AFTER THE CARDIOPULMONARY BYPASS OPERATION. IT WAS BELIEVED THAT SINCE THERE WAS CALCIFICATION AND THE TISSUE WAS FRAGILE, THE VALSALVA MAY HAVE BEEN DAMAGED IN THE IMPLANT PROCESS. WHEN THE VALVE WAS EXPLANTED, THE CUFF WAS SLIGHTLY DAMAGED AT THE TIME OF RETRIEVAL. A BENTALL OPERATION WAS PERFORMED, AND A 25MM NON-ABBOTT VALVE WAS IMPLANTED INSTEAD. THE PATIENT WAS REPORTED AS RECOVERING. THE CAUSE OF THE EVENT WAS UNKNOWN.

    Patient problems: Hemorrhage/Blood Loss/Bleeding

    MAUDE report 20270830 ↗
  • InjuryMar 9, 2022Incomplete Coaptation; Insufficient Device Problem Information; Incomplete Coaptation; Insufficient Device Problem Information

    IT WAS REPORTED THAT ON (B)(6) 2022, A 25 MM EPIC PLUS SUPRA VALVE WAS SUCCESSFULLY IMPLANTED WITHOUT ISSUE. INTRAOPERATIVE ECHO PREFORMED REVEALED MODERATE AORTIC INSUFFICIENCY FROM THE DEVICE. THE PATIENT WAS PLACED BACK ON BYPASS, THE VALVE REMOVED, AND REPLACED WITH A 23 MM EPIC PLUS SUPRA VALVE TO RESOLVE THE EVENT. THERE WAS NO CLEAR CAUSE FOR THE MODERATE AORTIC INSUFFICIENCY. THE PROCEDURE WAS EXTENDED LONGER THAN IS CLINICALLY SIGNIFICANT, HOWEVER THE PATIENT REMAINED HEMODYNAMICALLY STABLE THROUGHOUT. THE PATIENT IS STABLE AND IS RECOVERING. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Patient problems: Aortic Valve Insufficiency/ Regurgitation

    MAUDE report 13712329 ↗

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Sources and updates

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