FDA Adverse Event Malfunction Summary report: N

HEARTMATE II LVAS , EUROPE

MDR report key: 3853614 · Received April 3, 2014

Report

Report Number
2916596-2014-00481
Event Type
Malfunction
Date Received
April 3, 2014
Date of Event
March 5, 2014
Report Date
March 5, 2014
Manufacturer
THORATEC CORP.
Product Code
DSQ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE PT REMAINS ON LVAD SUPPORT WITH THE PUMP. 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 (LVAD). APPROXIMATELY 2.5 YEARS POST-IMPLANT, IT WAS REPORTED THAT THE PT EXPERIENCED RED HEART ALARMS IN THE EVENT AND POSSIBLE UNK ALARMS IN THE PREVIOUS DAYS. THE PT'S EVENT HISTORY INDICATED PUMP STOPPAGES, ELEVATED PUMP POWER AND THE PT'S PULSATILITY INDEX (PI) WAS HIGH. A DECISION WAS MADE TO CHANGE THE PT'S PERCUTANEOUS LEAD WHICH WAS COMPLETED ON (B)(6) 2014.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
203486 HEARTMATE II LVAS , EUROPE DSQ: LEFT VENTRICULAR ASSIST DEVICE DSQ THORATEC CORP. 104912 105149

Patients

Seq Age Sex Outcome Treatment
1