FDA Adverse Event Malfunction Summary report: N

HEARTMATE II SYSEM CONTROLLER

MDR report key: 3843589 · Received March 25, 2014

Report

Report Number
2916596-2014-00295
Event Type
Malfunction
Date Received
March 25, 2014
Date of Event
February 24, 2014
Report Date
February 24, 2014
Manufacturer
THORATEC CORP.
Product Code
DSQ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS SENT TO THE MANUFACTURER FOR EVAL AND IS CURRENTLY BEING ANALYZED. NO FURTHER INFO 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. THE VAD COORDINATOR REPORTED THAT THE PATIENT WAS HAVING CONTINUOUS LOW FLOW ALARMS IN THE OPERATING ROOM FOLLOWING A PUMP EXCHANGE (REFERENCE MFR # 0002916596-2014-00294). THE PT WAS "HEMODYNAMICALLY STABLE WITH A MAP OF 88." THE PUMP SPEED WAS SET AT 9400 RPM'S; GOOD LEFT VENTRICLE DECOMPRESSION; SEPTUM MIDLINE WITH HYPOKINETIC RIGHT VENTRICLE; AV REMAINED CLOSED WITH EACH BEAT. THE SYSTEM CONTROLLER WAS EXCHANGED, AS WELL AS, REDUCE MAP TO A GOAL OF 70-80. MEDICATION WAS INITIATED AND THE PT'S MAP WAS REDUCED TO 74. THE PT'S SYSTEM CONTROLLER THEN DISPLAYED A FLOW OF 4.7.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
174131 HEARTMATE II SYSEM CONTROLLER DSQ: LVAD SYSTEM CONTROLLER DSQ THORATEC CORP. 106762 135840

Patients

Seq Age Sex Outcome Treatment
1 33 YR