FDA Adverse Event
Injury
Summary report: N
HEARTMATE II LVAS, EUROPE
MDR report key: 3072365
·
Received April 19, 2013
Report
- Report Number
- 2916596-2013-00367
- Event Type
- Injury
- Date Received
- April 19, 2013
- Date of Event
- March 21, 2013
- Report Date
- March 22, 2013
- Manufacturer
- THORATEC CORP.
- Product Code
- DSQ
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- HEALTH PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
THE PATIENT REMAINS ON LVAD SUPPORT WITH THE REPLACEMENT PUMP WITH NO FURTHER ISSUES REPORTED. THE MFR IS ATTEMPTING TO ACQUIRE THE EXPLANTED PUMP FOR ANALYSIS. NO FURTHER INFO IS AVAILABLE AT THIS TIME. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE MFR'S INVESTIGATION IS COMPLETED.
Description of Event or Problem · 1
THE PATIENT WAS IMPLANTED WITH A LEFT VENTRICULAR ASSIST DEVICE. ACCORDING TO THE INFO RECEIVED, A CARDIO CT SCAN WAS PERFORMED FOLLOWING THE IMPLANTATION OF THE PUMP AND ONE WEEK LATER, POWER ELEVATIONS UP TO 14-16 WATTS WERE OBSERVED, FOLLOWED BY A DECREASE IN THE PULSATILITY INDEX (PI), AND THEN AN INCREASE IN THE PI. APPROX 1 MONTH POST-IMPLANT, THE PATIENT WAS RETURNED TO THE OPERATING ROOM FOR A PUMP EXCHANGED DUE TO SIGNS OF HEMOLYSIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 169880 | HEARTMATE II LVAS, EUROPE | DSQ: LEFT VENTRICULAR ASSIST DEVICE | DSQ | THORATEC CORP. | 106016 | 121050 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |