FDA Adverse Event Other Summary report: N

THORATEC VENTRICULAR ASSIST DEVICE (VAD) SYSTEM

MDR report key: 305260 · Received November 9, 2000

Report

Report Number
2916596-2000-00029
Event Type
Other
Date Received
November 9, 2000
Date of Event
October 11, 2000
Report Date
November 9, 2000
Manufacturer
THORATEC LABORATORIES CORP.
Product Code
DSQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE USER INDICATED THAT A PT UNDERWENT REOPERATION TO CHANGE THE VENTRICULAR ASSIST DEVICE (VAD) DUE TO HEMOLYSIS SUSPECTED TO BE RELATED TO THE DEVICE. THE EXPLANTED VAD WAS RETURNED UNSTERILE TO THORATEC'S MFG FACILITY FOR EVAL. FURTHER INVESTIGATION OF THE DEVICE WILL BE CONDUCTED AFTER THE VAD HAS BEEN STERILIZED. ANY NECESSARY CORRECTIVE ACTION WILL BE DETERMINED UPON COMPLETION OF THE FAILURE INVESTIGATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 THORATEC VENTRICULAR ASSIST DEVICE (VAD) SYSTEM VENTRICULAR ASSIST DEVICE (VAD) BLOOD PUMP DSQ THORATEC LABORATORIES CORP. NA NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other