FDA Adverse Event Injury Summary report: N

HEARTMATE II LVAS, EUROPE

MDR report key: 3760768 · Received April 7, 2014

Report

Report Number
2916596-2014-00418
Event Type
Injury
Date Received
April 7, 2014
Date of Event
March 10, 2014
Report Date
March 11, 2014
Manufacturer
THORATEC CORP.
Product Code
DSQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
LS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PT REMAINS ON LVAD SUPPORT WITH THE REPLACEMENT PUMP. THE DEVICE WAS RETURNED TO THE MFR, AND IS CURRENTLY BEING ANALYZED. NO FURTHER INFO IS AVAILABLE AT THIS TIME. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE MFR'S INVESTIGATION IS COMPLETED.

Description of Event or Problem · 1

THE PT WAS IMPLANTED WITH A HEARTMATE II LEFT VENTRICULAR ASSIST DEVICE. A DEVICE TRACKING FORM WS SUBMITTED TO THE MFR INDICATING THAT APPROXIMATELY 3 MONTHS POST IMPLANT THE PUMP WAS EXCHANGED. ADDITIONAL INFORMATION RECEIVED INDICATED THAT PRIOR TO IMPLANT THE PT HAD PERSISTENT ATRIAL FIBRILLATION. IN THE MONTH PRIOR TO THE EXCHANGE, THE PT'S PULSATILE ARTERIAL BLOOD PRESSURE AND SIGNS OF HEMOLYSIS WERE MONITORED. AN ANGIOGRAM AND ECHOCARDIOGRAM WERE PERFORMED AND NO INDICATION OF OBSTRUCTION WAS SEEN. A RAMP TEST WAS PERFORMED WHICH INDICATED THAT THE PUMP WAS NOT UNLOADING THE LEFT VENTRICLE: THEREFORE, A DECISION WAS MADE TO EXCHANGE THE PUMP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
205565 HEARTMATE II LVAS, EUROPE DSQ: LEFT VENTRICULAR ASSIST DEVICE DSQ THORATEC CORP. 106016 133354

Patients

Seq Age Sex Outcome Treatment
1 61 YR Required Intervention