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