FDA Adverse Event
Injury
Summary report: N
LIVANOVA 3T HCD
MDR report key: 20201485
·
Received September 11, 2024
Report
- Report Number
- MW5159518
- Event Type
- Injury
- Date Received
- September 11, 2024
- Date of Event
- September 27, 2019
- Report Date
- September 9, 2024
- Manufacturer
- LIVANOVA DEUTSCHLAND GMBH
- Product Code
- DWC
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
HCD LIVANOVA 3T M. CHIMAERA INFECTION AFTER LVAD PLACEMENT (B)(6) 2019. DISCOVERED (B)(6) 2024 BY ID. (B)(6) 2019 LVAD INSERTION (DESTINATION) COMPLICATED BY DRIVELINE EXIT SITE PAIN (B)(6) 2021 AND CULTURE-NEGATIVE, TREATED WITH EMPIRIC ANTIBACTERIALS WITHOUT SUCCESS AND DEVELOPED ADDITIONAL WOUNDS/SINUS TRACTS BY (B)(6) 2024. TRANSPLANT ID DID AFB CULTURES AT THAT TIME WHICH GREW MAIC UNFORTUNATELY LIKELY TO ID AS MYCOBACTERIUM CHIMAERA FROM (B)(6) 2024. MEETS CASE DEFINITION FOR THE HCD LIVANOVA 3T OUTBREAK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1584554 | LIVANOVA 3T HCD | CONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS | DWC | LIVANOVA DEUTSCHLAND GMBH |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Female | Other |