FDA Adverse Event Injury Summary report: N

HEARTMATE II LEFT VENTRICULAR ASSIST DEVICE

MDR report key: 3950514 · Received July 11, 2014

Report

Report Number
2916596-2014-01176
Event Type
Injury
Date Received
July 11, 2014
Date of Event
June 13, 2014
Report Date
June 13, 2014
Manufacturer
THORATEC CORP.
Product Code
DSQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE PATIENT CONTINUES ON LVAD SUPPORT AND IS BEING MONITORED BY THE HOSPITAL FOR THE ELEVATED LDH LEVELS. NO FURTHER INFORMATION IS AVAILABLE AT THIS TIME. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER'S INVESTIGATION IS COMPLETED.

Additional Manufacturer Narrative · 1

THE PATIENT REMAINS ON VAD SUPPORT. A CORRELATION BETWEEN THE DEVICE AND THE REPORTED HEMOLYSIS COULD NOT BE CONCLUSIVELY DETERMINED. HEMOLYSIS IS LISTED IN THE INSTRUCTIONS FOR USE AS A POTENTIAL ADVERSE EVENT THAT MAY BE ASSOCIATED WITH THE USE OF THE HEARTMATE II LEFT VENTRICULAR ASSIST SYSTEM. A REVIEW OF THE DEVICE HISTORY RECORD REVEALED THAT THE DEVICE MET APPLICABLE SPECIFICATIONS. NO FURTHER INFORMATION WAS PROVIDED. THE MANUFACTURER IS CLOSING THE FILE ON THIS EVENT.

Description of Event or Problem · 1

THE PATIENT WAS IMPLANTED WITH A LEFT VENTRICULAR ASSIST DEVICE (LVAD). THE VAD COORDINATOR REPORTED THAT AFTER 3 MONTHS OF SUPPORT ON THE LVAD, THE PATIENT WAS EXPERIENCING ELEVATED LACTATE DEHYDROGENASE (LDH) BUT NO OTHER SIGNS OF HEMOLYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
406793 HEARTMATE II LEFT VENTRICULAR ASSIST DEVICE DSQ: LEFT VENTRICULAR ASSIST DEVICE DSQ THORATEC CORP. 106015 137611

Patients

Seq Age Sex Outcome Treatment
1 61 YR Required Intervention