BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEARTWARE HVAD

    MDR report key: 3183090 · Received June 21, 2013

    Report

    Report Number
    3183090
    Event Type
    Injury
    Date Received
    June 21, 2013
    Date of Event
    June 7, 2013
    Report Date
    June 12, 2013
    Manufacturer
    HEARTWARE, INC.
    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

    DISPLAY ON HIS CONTROLLER WENT OUT. BROUGHT TO HOSPITAL TO EXCHANGE CONTROLLER PER LVAD COORDINATOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    282662 HEARTWARE HVAD LVAD DSQ HEARTWARE, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1