FDA Adverse Event Injury Summary report: N

HEARTMATE II LVAS

MDR report key: 3111338 · Received May 9, 2013

Report

Report Number
2916596-2013-00542
Event Type
Injury
Date Received
May 9, 2013
Date of Event
April 4, 2013
Report Date
April 11, 2013
Manufacturer
THORATEC CORP.
Product Code
DSQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE PUMP REMAINS IN USE SUPPORTING THE PATIENT. 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 ADMITTED INTO THE HOSPITAL FOR HEMOLYSIS. HIS LACTATE DEHYDROGENASE (LDH) WAS 1900, AND THEN DECREASED TO 500. THE HOSPITAL STAFF DETERMINED THAT THE PATIENT'S LEFT VENTRICLE (LV) NEEDS TO BE FULL OF VOLUME. THE PATIENT WAS MONITORED AND HIS SPEED WAS ADJUSTED. THE PATIENT REMAINS ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
202671 HEARTMATE II LVAS DSQ: LEFT VENTRICULAR ASSIST DEVICE DSQ THORATEC CORP. 105903 114594

Patients

Seq Age Sex Outcome Treatment
1 60 YR Required Intervention