FDA Adverse Event Death Summary report: N

THORATECH LABORATORIES

MDR report key: 64654 · Received January 23, 1997

Report

Report Number
MW1010619
Event Type
Death
Date Received
January 23, 1997
Date of Event
January 17, 1996
Report Date
January 20, 1997
Manufacturer
THORATECH LABORATORIES
Product Code
DSQ
Adverse Event
Yes
Report Source
Voluntary report
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

ADDITIONAL INFO RECEIVED FROM MFR ON 05/12/1998: THORATEC LABORATORIES CORP. HAS BEEN MISTAKENLY IDENTIFIED AS THE DEVICE MFR IN THE REFERENCED MEDWATCH REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 THORATECH LABORATORIES Implant VAD/VENTRICULAR ASSIST DEVICE DSQ THORATECH LABORATORIES * *

Patients

Seq Age Sex Outcome Treatment
1 53 YR Death| H