FDA Adverse Event Death Summary report: N

HEARTMATE II LVAS

MDR report key: 5621623 · Received April 29, 2016

Report

Report Number
2916596-2016-00833
Event Type
Death
Date Received
April 29, 2016
Date of Event
March 24, 2016
Report Date
April 1, 2016
Manufacturer
THORATEC CORPORATION
Product Code
DSQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

APPROXIMATE AGE OF DEVICE ¿ 3 YEARS, 4 MONTHS. THE PUMP WAS NOT EXPLANTED AND THUS WAS NOT AVAILABLE FOR EVALUATION. STROKE IS LISTED IN THE INSTRUCTIONS FOR USE AS A POTENTIAL ADVERSE EVENT THAT MAY BE ASSOCIATED WITH USE OF THE HEARTMATE II LEFT VENTRICULAR ASSIST SYSTEM. A REVIEW OF THE DEVICE HISTORY RECORDS 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) ON (B)(6) 2012. IT WAS REPORTED THAT THE PATIENT EXPIRED ON (B)(6) 2016 DUE TO A STROKE. PUMP PARAMETERS WERE REPORTEDLY STABLE DURING THE COURSE OF THE EVENT. THE PATIENT'S LACTATE DEHYDROGENASE LEVEL ALSO HAD BEEN STABLE AT APPROXIMATELY 300 U/L. NO FURTHER INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
277451 HEARTMATE II LVAS LEFT VENTRICULAR ASSIST DEVICE DSQ THORATEC CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 62 YR Death