FDA Adverse Event
Injury
Summary report: N
HEARTMATE II
MDR report key: 10028363
·
Received May 6, 2020
Report
- Report Number
- 10028363
- Event Type
- Injury
- Date Received
- May 6, 2020
- Date of Event
- March 24, 2019
- Report Date
- April 28, 2020
- Manufacturer
- THORATEC CORPORATION
- Product Code
- DSQ
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- OH
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
HEARTMATE II PRESENTS WITH TRAUMATIC SUBARACHNOID HEMORRHAGE (SAH) IN THE SETTING OF SUPRATHERAPEUTIC INTERNATIONAL NORMALIZED RATIO (INR) 5.0 AND STREPTOCOCCAL BACTEREMIA. INR WAS REVERSED WITH PLASMA AND VITAMIN K; NO SURGICAL INTERVENTION WAS REQUIRED FOR THE SAH. HEPARIN WAS RESUMED, AND HEPARIN BRIDGE TO COUMADIN WAS COMPLETED PRIOR TO DISCHARGE. ASPIRIN 81 MG THREE TIMES WEEKLY WAS RESUMED. BACTEREMIA WAS MANAGED WITH IV ANTIBIOTICS X 4 WEEKS AFTER DISCHARGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 494494 | HEARTMATE II | VENTRICULAR (ASSISST) BYPASS | DSQ | THORATEC CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 26280 DA | Hospitalization| L| S |