BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEARTMATE II LVAS

    MDR report key: 2880230 · Received December 19, 2012

    Report

    Report Number
    2880230
    Event Type
    Injury
    Date Received
    December 19, 2012
    Date of Event
    November 30, 2012
    Report Date
    December 19, 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

    PATIENT WAS ADMITTED ON (B)(6) 2012 FOR SHORTNESS OF BREATH. HE WAS STARTED ON A HEPARIN DRIP ON (B)(6) 2012 FOR A THROMBUS IN HIS LVAD. HE SUFFERED A PUMP FAILURE ON (B)(6) 2012 AND WAS PLACED ON VA-ECMO AFTER 1 HOUR CPR. HIS LVAD WAS EXCHANGED ON (B)(6) 2012.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEARTMATE II LVAS LVAD DSQ THORATEC CORPORATION

    Patients

    Seq Age Sex Outcome Treatment
    1