FDA Adverse Event Injury Summary report: N

SYNCARDIA CARDIOWEST

MDR report key: 3013683 · Received March 20, 2013

Report

Report Number
3013683
Event Type
Injury
Date Received
March 20, 2013
Date of Event
January 31, 2013
Report Date
March 18, 2013
Manufacturer
SYNCARDIA SYSTEMS, INC.
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

BOTH FREEDOM DRIVERS ALARMED. PATIENT ASYMPTOMATIC. PROVIDED NEW DRIVERS AND DISCHARGED HOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
115275 SYNCARDIA CARDIOWEST TOTAL ARTIFICIAL HEART (TAH) DSQ SYNCARDIA SYSTEMS, INC.

Patients

Seq Age Sex Outcome Treatment
1