FDA Adverse Event Injury Summary report: N

HEARTMATE II LVAD

MDR report key: 2930349 · Received January 22, 2013

Report

Report Number
2916596-2013-00087
Event Type
Injury
Date Received
January 22, 2013
Date of Event
December 24, 2012
Report Date
December 24, 2012
Manufacturer
THORATEC CORP.
Product Code
DSQ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE PATIENT REMAINS ONGOING WITH THE IMPLANTED DEVICE AND NO FURTHER ISSUES HAVE BEEN REPORTED. NO FURTHER INFORMATION IS AVAILABLE AT THIS TIME. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER'S INVESTIGATION IS COMPLETED.

Description of Event or Problem · 1

THE PATIENT WAS IMPLANTED WITH A LEFT VENTRICULAR ASSIST DEVICE (LVAD). IT WAS REPORTED BY THE VAD COORDINATOR THAT THE PATIENT WAS PRESENTED TO THE EMERGENCY DEPARTMENT WITH INCREASING HEART FAILURE SYMPTOMS AND AN ELEVATED LACTATE DEHYDROGENASE (LDH). AN ECHO CARDIOGRAM (ECHO) WAS PERFORMED WHICH SHOWED A DISTENDED LEFT VENTRICULAR, WITH NO SIZE CHANGE FROM 8600 TO 9800 AND CR INCREASING AS WELL. PATIENT IS ON A HEPARIN DRIP AND DOBUTAMINE. ADDITIONAL INFORMATION RECEIVED ADVISED THAT THE PATIENT WAS TRANSFERRED TO THE IMPLANTING CENTER. THE PATIENT HAD SIGNIFICANT RIGHT SIDED FAILURE AND IT SUSPECTED THAT THE LVAD PUMP IS NOT OPERATING AS EXPECTED. THEY ARE CONSIDERING TRANSFERRING THE PATIENT ONTO ANOTHER CENTER TO IMPLANT ANOTHER DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
29565 HEARTMATE II LVAD DSQ: LEFT VENTRICULAR ASSIST DEVICE DSQ THORATEC CORP. 104911 115175

Patients

Seq Age Sex Outcome Treatment
1 47 YR Required Intervention