FDA Adverse Event
Injury
Summary report: N
HEARTMATE 3
MDR report key: 18972530
·
Received March 25, 2024
Report
- Report Number
- 18972530
- Event Type
- Injury
- Date Received
- March 25, 2024
- Date of Event
- December 27, 2022
- Report Date
- January 6, 2023
- Manufacturer
- THORATEC CORPORATION
- Product Code
- DSQ
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NC, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
'PATIENT WITH VAD ALARMS ON (B)(6) 2022 NOTIFIED VAD OFFICE AND WAS TOLD TO HYDRATE. PT THEN BEGAN HAVING SHORTNESS OF BREATH, NAUSEA AND VOMITING. ADMITTED (B)(6) IN CARIOGENIC SHOCK. LACTATE ON ADMISSION 5.9 WITH T BILI 3.6 AND LOH 305 (NORMAL RANGE 100-200 RANGE). VAD FLOWS DECREASED TO 2-3 RANGE (NORMAL FLOW RANGE IN 6'S). ECHO WITH RAMP STUDY WITH NO LV COMPRESSION. CT PERFORMED WITH NOTED DEBRIS IN RELIEF BEND COMPRESSING OUTFLOW GRAFT. UNDERWENT BEND RELIEF SURGERY ON "(B)(6)" WITH IMPROVEMENT IN FLOWS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 408725 | HEARTMATE 3 | LEFT VENTRICULAR ASSIST DEVICE | DSQ | THORATEC CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 69 YR | Male | Required Intervention |