BEUDAMED
    FDA Adverse Event Injury Summary report: N

    THORATEC PVAD

    MDR report key: 2771052 · Received October 3, 2012

    Report

    Report Number
    2771052
    Event Type
    Injury
    Date Received
    October 3, 2012
    Date of Event
    November 19, 2008
    Report Date
    October 2, 2012
    Manufacturer
    THORATEC CORPORATION
    Product Code
    DSQ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    AL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT HAS A BIVAD, RIGHT CANNULA THROMBUS (STRING). RESOLVED (B)(6) 2008. DR.(B)(6) HAS SPECIFIED THAT THROMBUS IS NOT A DEVICE MALFUNCTION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 THORATEC PVAD BIVAD DSQ THORATEC CORPORATION

    Patients

    Seq Age Sex Outcome Treatment
    1