FDA Adverse Event Injury Summary report: N

THORATEC® HEARTMATE II®, LVAS IMPLANT KIT

MDR report key: 19658886 · Received July 2, 2024

Report

Report Number
2916596-2024-03982
Event Type
Injury
Date Received
July 2, 2024
Date of Event
March 16, 2024
Report Date
August 5, 2024
Manufacturer
THORATEC CORPORATION
Product Code
DSQ
UDI-DI
00813024011996
PMA / PMN Number
P060040
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MANUFACTURER'S INVESTIGATION CONCLUSION: A DIRECT CORRELATION BETWEEN HEARTMATE II LEFT VENTRICULAR ASSIST SYSTEM (LVAS), SERIAL NUMBER (B)(6), AND THE REPORT OF RIGHT HEART FAILURE COULD NOT BE CONCLUSIVELY ESTABLISHED THROUGH THIS EVALUATION. THE RELEVANT SECTIONS OF THE DEVICE HISTORY RECORDS FOR (B)(6) WERE REVIEWED AND SHOWED NO DEVIATIONS FROM MANUFACTURING OR QUALITY ASSURANCE SPECIFICATIONS. THE HEARTMATE II LVAS INSTRUCTIONS FOR USE (IFU) IS CURRENTLY AVAILABLE. SECTION 1 ¿INTRODUCTION¿ LISTS RIGHT HEART FAILURE AS AN ADVERSE EVENT THAT MAY BE ASSOCIATED WITH THE USE OF HEARTMATE II LVAS. SECTION 6, ¿PATIENT CARE AND MANAGEMENT¿ (UNDER "POSTOPERATIVE PATIENT CARE"), CAUTIONS: "RIGHT HEART FAILURE CAN OCCUR FOLLOWING IMPLANTATION OF THE PUMP. RIGHT VENTRICULAR DYSFUNCTION, ESPECIALLY WHEN COMBINED WITH ELEVATED PULMONARY VASCULAR RESISTANCE, MAY LIMIT THE EFFECTIVENESS OF THE LEFT VENTRICULAR ASSIST SYSTEM DUE TO REDUCED FILLING OF THE PUMP." SECTION 6, UNDER "RIGHT HEART FAILURE", DISCUSSES THE POTENTIAL DEVELOPMENT OF RIGHT HEART FAILURE DURING USE OF THE HEARTMATE II LVAS AND OUTLINES THE ASSOCIATED TREATMENT OPTIONS. NO FURTHER INFORMATION WAS PROVIDED. THE MANUFACTURER IS CLOSING THE FILE ON THIS EVENT.

Additional Manufacturer Narrative · 0

NO FURTHER INFORMATION WAS PROVIDED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED ONCE THE MANUFACTURER¿S INVESTIGATION IS COMPLETE.

Description of Event or Problem · 0

ADDITIONAL INFORMATION REPORTED THAT THE RIGHT HEART FAILURE DID NOT EXIST PRIOR TO LEFT VENTRICULAR ASSIST DEVICE IMPLANT. A DEVICE RELATED ISSUE DID NOT CAUSE OR CONTRIBUTE TO RIGHT HEART FAILURE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT DEVELOPED RIGHT HEART FAILURE ON (B)(6) 2024.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
760007 THORATEC® HEARTMATE II®, LVAS IMPLANT KIT VENTRICULAR (ASSIST) BYPASS DSQ THORATEC CORPORATION 107801 7263446 00813024011996

Patients

Seq Age Sex Outcome Treatment
1 76 YR Male Other