BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEARTMATE II LVAS

    MDR report key: 3150816 · Received June 6, 2013

    Report

    Report Number
    3150816
    Event Type
    Injury
    Date Received
    June 6, 2013
    Date of Event
    May 20, 2013
    Report Date
    June 3, 2013
    Manufacturer
    THORATEC CORPORATION
    Product Code
    DSQ
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    AL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CLAMSHELL REPAIR FOR SILICONE PULLED AWAY FROM DISTAL END OF DRIVELINE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    250347 HEARTMATE II LVAS LVAD DSQ THORATEC CORPORATION

    Patients

    Seq Age Sex Outcome Treatment
    1