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