FDA Adverse Event Injury Summary report: N

SYNCARDIA TEMPORARY TOTAL ARTIFICIAL HEART SYSTEM

MDR report key: 7107916 · Received December 12, 2017

Report

Report Number
7107916
Event Type
Injury
Date Received
December 12, 2017
Date of Event
September 16, 2016
Report Date
December 6, 2017
Manufacturer
SYNCARDIA SYSTEMS, LLC
Product Code
LOZ
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

HE WAS IN PHYSICAL THERAPY IN THE AFTERNOON AND WHILE LYING ON HIS BACK WITH HIS KNEES UP, THE THERAPIST WAS MASSAGING HIS HIP AREA. HE "BLACKED OUT" MOMENTARILY AND AT THAT TIME THE FREEDOM DRIVER HAD A TEMPORARY FAULT ALARM THAT RESOLVED SPONTANEOUSLY. DRIVING HOME FROM THERAPY, HE DIDN'T FEEL RIGHT AND FELT A FLUTTERING IN HIS CHEST. THE DEVICE HAD THREE MORE TEMPORARY FAULT ALARMS. THE FAMILY THOUGHT THESE THINGS WERE CAUSED BY IMPENDING FREEDOM DRIVER FAILURE, SO THEY CHANGED FROM THE FREEDOM DRIVE. BACK TO NORMAL. VENTRICULAR ASSIST DEVICE (VAD) COORDINATOR RECOMMENDED THE PATIENT COME TO EMERGENCY DEPARTMENT FOR ADMIT. VAD TEAM WILL MEET HIM. KEEP TOTAL ARTIFICIAL HEART (TAH) WITHIN SET PARAMETERS SET SPECIFIC FOR THE PATIENT; MAINTAIN THERAPEUTIC COAGS; CT ANGIO SHOWED PULMONARY EMBOLUS. SYNCARDIA CONSULTED REGARDING INTERNATIONAL EXPERIENCE OF TREATMENT OF PULMONARY EMBOLISM IN TAH PATIENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
887630 SYNCARDIA TEMPORARY TOTAL ARTIFICIAL HEART SYSTEM ARTIFICIAL HEART LOZ SYNCARDIA SYSTEMS, LLC 500101

Patients

Seq Age Sex Outcome Treatment
1 31 YR Life Threatening| R CARDIAC DRUGS| CVVHD (DIALYSIS)| DIALYSIS