FDA Adverse Event
Death
Summary report: N
HEARTMATE II LVAS
MDR report key: 4907546
·
Received July 10, 2015
Report
- Report Number
- 4907546
- Event Type
- Death
- Date Received
- July 10, 2015
- Date of Event
- June 5, 2015
- Report Date
- June 15, 2015
- Manufacturer
- THORATEC CORPORATION
- Product Code
- DSQ
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- TN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
(B)(6).
Description of Event or Problem · 1
PATIENT ADMITTED FOR FALL, UPON ADMISSION FOUND TO HAVE ELEVATED LDH. POSITIVE RAMP STUDY ON (B)(6) 2015. LDH CONTINUED TO RISE OVER THE WEEKEND. PATIENT WAS TRANSFERRED TO CVICU WITH ELEVATED LDH, ELEVATED CR AND RESPIRATORY DISTRESS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 451244 | HEARTMATE II LVAS | LVAD | DSQ | THORATEC CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 70 YR | Death |