FDA Adverse Event Death Summary report: N

HEARTMATE II LVAS

MDR report key: 3173771 · Received June 17, 2013

Report

Report Number
3173771
Event Type
Death
Date Received
June 17, 2013
Date of Event
June 12, 2013
Report Date
June 17, 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

PATIENT CUT DRIVELINE WITH SCISSORS WHILE CHANGING HIS DIAPER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
273933 HEARTMATE II LVAS LVAD DSQ THORATEC CORPORATION * *

Patients

Seq Age Sex Outcome Treatment
1 * Death