FDA Adverse Event Injury Summary report: N

THORATEC® HEARTMATE 3® LVAS IMPLANT KIT

MDR report key: 19779747 · Received July 18, 2024

Report

Report Number
2916596-2024-04489
Event Type
Injury
Date Received
July 18, 2024
Date of Event
April 2, 2024
Report Date
July 24, 2024
Manufacturer
THORATEC CORPORATION
Product Code
DSQ
UDI-DI
00813024013297
PMA / PMN Number
P160054
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

NO ADDITIONAL INFORMATION HAS BEEN PROVIDED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED ONCE THE MANUFACTURER'S INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative · 0

SPECIFIC PATIENT INFORMATION AND DEVICE SERIAL NUMBER ARE DOCUMENTED AS UNKNOWN. DEVICE WAS IMPLANTED AT TIME OF EVENT. DATE OF EVENT HAS BEEN ENTERED AS THE SAME AS PUBLISHED DATE ¿ 02APR2024 SINCE THE DATE OF DATA COLLECTION WAS NOT PROVIDED. B5: MILLER, ALANNA; ET AL. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, SUPPL. SUPPLEMENT83.13: 2969. ELSEVIER INC. HTTP://DX.DOI.ORG/10.1016/S0735-1097(24)04959-3 PENN PRESBYTERIAN MEDICAL CENTER, PHILADELPHIA, PA, UNITED STATES. D4: DEVICE SERIAL NUMBER AND LOT NUMBER WERE NOT PROVIDED, AND EXPIRATION DATE AND MANUFACTURE DATE (H4) CANNOT BE DETERMINED. THE PRIMARY UDI NUMBER IN D4 IS REFLECTIVE OF ALL AVAILABLE INFORMATION. MANUFACTURER'S INVESTIGATION CONCLUSION: A CORRELATION BETWEEN THE DEVICE AND THE REPORT OF INFECTION COULD NOT BE CONCLUSIVELY DETERMINED. INFECTION IS LISTED IN THE INSTRUCTIONS FOR USE AS A POTENTIAL ADVERSE EVENT THAT MAY BE ASSOCIATED WITH THE USE OF HEARTMATE 3 LEFT VENTRICULAR ASSIST SYSTEM. INFECTION HAS BEEN PREVIOUSLY INVESTIGATED AND WILL CONTINUE TO BE MONITORED THROUGH QUALITY DATA REVIEWS, WHICH ARE CONDUCTED ON PRODUCTION AND POST PRODUCT SIGNALS TO EVALUATE IF PRODUCTS ARE CONFORMING TO PRODUCT REQUIREMENTS. NO FURTHER INFORMATION WAS PROVIDED. THE MANUFACTURER IS CLOSING THE FILE ON THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THROUGH THE RESEARCH ARTICLE TITLED ¿THE EFFECTS OF RECURRENT LEFT VENTRICULAR ASSIST DEVICE (LVAD) DRIVELINE INFECTION ON HEART FAILURE DIAGNOSTIC TRENDS IN AN IMPLANTED CARDIAC DEVICE?¿ IDENTIFYING THAT HEARTMATE 3 (HM3) IS ASSOCIATED WITH DRIVELINE INFECTION AND EXACERBATION OF HEART FAILURE (HF). THIS IS A CASE STUDY OF A 73 Y/O MAN WITH HM3 IMPLANTED IN 2019, WAS NOTED TO HAVE ELEVATED HF INDICES DURING A HF MONITORING PROTOCOL. HE WAS CONTACTED AND HAD NO CLINICAL SYMPTOMS OF HF; THOUGH, HE DID NOTE REDNESS AND DRAINAGE AROUND HIS LVAD DRIVELINE. AFTER EVALUATION, CULTURES WERE NOTED TO BE POSITIVE FOR PSEUDOMONAS. HE WAS STARTED ON ORAL ANTIBIOTICS AND HAD DRIVELINE SITE DEBRIDEMENT WITH DRIVELINE REPOSITIONING. HF INDICES DECREASED TO NORMAL LEVELS AFTER SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2033226 THORATEC® HEARTMATE 3® LVAS IMPLANT KIT VENTRICULAR (ASSIST) BYPASS DSQ THORATEC CORPORATION 106524US 00813024013297

Patients

Seq Age Sex Outcome Treatment
1 73 YR Male Required Intervention