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 |