FDA Adverse Event Injury Summary report: N

HEARTMATE II LVAS

MDR report key: 3911684 · Received May 28, 2014

Report

Report Number
2916596-2014-00844
Event Type
Injury
Date Received
May 28, 2014
Date of Event
April 3, 2014
Report Date
April 28, 2014
Manufacturer
THORATEC CORP.
Product Code
DSQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PUMP REMAINS IN USE SUPPORTING THE PT. NO FURTHER INFO IS AVAILABLE AT THIS TIME. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER'S INVESTIGATION IS COMPLETED.

Additional Manufacturer Narrative · 1

A DIRECT CORRELATION BETWEEN THE REPORTED EVENT AND THE DEVICE COULD NOT BE DETERMINED. IT WAS COMMUNICATED THAT THE PATIENT REMAINED ONGOING ON PUMP SUPPORT UNTIL EXPIRING ON JULY 6, 2014. THE PUMP WAS RETURNED AND EVALUATED UNDER MFR'S MEDWATCH # 2916596-2014-01364. A REVIEW OF DEVICE HISTORY RECORDS SHOWED NO DEVIATIONS FROM MANUFACTURING OR QA SPECIFICATIONS. THE MANUFACTURER IS CLOSING ITS FILE ON THIS EVENT.

Description of Event or Problem · 1

THE PT WAS IMPLANTED WITH A LEFT VENTRICULAR ASSIST DEVICE (LVAD). IT WAS REPORTED BY THE VAD ADMINISTRATOR THAT THE PT WAS ADMITTED FOR SHORTNESS OF BREATH AND WEAKNESS WITH THE PUMP SPEED SET AT 8800 RPM. THE PT WAS STARTED ON MILRINONE WAS BEING WORKED UP FOR A HEART TRANSPLANT. THE RAMP STUDY WAS STOPPED WHEN THE PULMONARY CAPILLARY WEDGE PRESSURE (PCWP) REACHED 5 MMHG, TO AVOID THE POSSIBILITY OF A SUCTION EVENT. AT THE CONCLUSION OF THE CASE THE PUMP SPEED WAS SET AT 9600 RPM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
314827 HEARTMATE II LVAS DSQ: LEFT VENTRICULAR ASSIST DEVICE DSQ THORATEC CORP. 106015 130931

Patients

Seq Age Sex Outcome Treatment
1 52 YR Required Intervention