FDA Adverse Event Injury Summary report: N

HEARTMATE II LVAS

MDR report key: 2895594 · Received January 3, 2013

Report

Report Number
2895594
Event Type
Injury
Date Received
January 3, 2013
Date of Event
December 19, 2012
Report Date
January 3, 2013
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 DUE TO ELEVATED PLASMA FREE HEMOGLOBIN AND ELEVATED LACTATE DEHYDROGENASE WHICH INDICATED POSSIBLE PUMP CLOT. PATIENT RECEIVED TPA AND FLOWS RETURNED TO NORMAL (FLOWS HAD BEEN SHOWING ---).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
3183 HEARTMATE II LVAS LVAD DSQ THORATEC CORPORATION

Patients

Seq Age Sex Outcome Treatment
1