FDA Adverse Event Death Summary report: N

CARDIOWEST TEMPORARY TOTAL ARTIFICIAL HEART

MDR report key: 1472678 · Received September 11, 2009

Report

Report Number
3003761017-2009-00039
Event Type
Death
Date Received
September 11, 2009
Date of Event
September 7, 2009
Report Date
September 11, 2009
Manufacturer
SYNCARDIA SYSTEMS, INC.
Product Code
DSQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

PT WAS IMPLANTED WITH THE CARDIOWEST TEMPORARY TOTAL ARTIFICIAL HEART (TAH-T) IN 2007. THE PT WAS ON THE HIGH URGENT LIST FOR A HEART TRANSPLANT. HE WAS SUPPORTED BY A SYNCARDIA EXCOR TAH-T PORTABLE PNEUMATIC DRIVER. AT APPROX 9 WEEKS POST-OP, SENIOR SURGEON, REPORTED THAT PT LOST CONSCIOUSNESS, AND WAS BROUGHT TO THE INTENSIVE CARE UNIT AT THE HEART CENTER. HE REPORTED THAT THE EXCOR DRIVER EXHIBITED ALARMS, AND THE PT HAD MASSIVE LUNG EDEMA AND UNMEASURABLE BLOOD PRESSURE. THE PT WAS SWITCHED TO A CSS CONSOLE, AND A FEMORAL VENOUS-ARTERIAL ECMO WAS IMPLANTED, WITHOUT SUCCESS. THE PT EXPIRED. CARDIOWEST TAH-T LOT 63815 WAS EXPLANTED IN THE NEXT DAY, AND WILL BE SENT TO SYNCARDIA FOR INVESTIGATION. THE RESULTS WILL BE REPORTED IN A SUPPLEMENTAL MDR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CARDIOWEST TEMPORARY TOTAL ARTIFICIAL HEART ARTIFICIAL HEART DSQ SYNCARDIA SYSTEMS, INC. TAH-T 63815

Patients

Seq Age Sex Outcome Treatment
1 Death