BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEARTMATE II LVAS

    MDR report key: 2880231 · Received December 19, 2012

    Report

    Report Number
    2880231
    Event Type
    Injury
    Date Received
    December 19, 2012
    Date of Event
    December 2, 2012
    Report Date
    December 18, 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

    NOTED DAMAGE TO DRIVELINE AT THE POINT OF CONNECTION TO SYSTEM CONTROLLER. GROUNDING CABLES CAUSING ELECTRIC SHORT FROM CONTROLLER TO PUMP, CAUSING PUMP TO STOP. DEVICE REP. NOTIFIED. ABLE TO REPAIR DRIVELINE. PT TOLERATED WELL. PT DC'D HOME.

    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