MAUDE MDR 279576

MDR report key
279576
Report number
2916596-2000-00020
Event key
0
Event type
3
Date of event
2000-04-21
Date received
2000-05-25
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
GARY CEDERWALL
Address
6035 STONERIDGE DR PLEASANTON CA 94588 US
Phone
925-925-9258
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1THORATEC VENTRICULAR ASSIST DEVICE (VAD) SYSTEMVENTRICULAR ASSIST DEVICE (VAD) BLOOD PUMPTHORATEC LABORATORIES CORP.DSQNA14086-2550-000NAYNN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12000-05-2501. D

Event Narratives#

D

Patient 1

A USER INDICATED ON A MEDICAL DEVICE TRACKING FORM THAT A PATIENT WHO WAS BEING SUPPORTED BY A LEFT VENTRICULAR ASSIST DEVICE (LVAD) HAD DIED OF A MAJOR THROMBOEMBOLIC EVENT. THE TRACKING FORM ALSO INDICATED THAT THE DEVICE CAUSED THE PATIENT'S DEATH. FOLLOW-UP CONVERSATIONS WITH PERSONNEL AT THE HOSPITAL DID NOT REVEAL ANY INDICATIONS THAT THE DEVICE HAD MALFUNCTIONED WHILE BEING USED. A LARGE AMOUNT OF CLOT WAS NOTED IN THE VAD AT AUTOPSY, BUT NO INFORMATION IS AVAILABLE TO INDICATE WHETHER THE CLOT WAS PRESENT PRIOR TO THE PATIENT'S DEATH OR FORMED POST-MORTEM. THE DEVICE WAS DISCARDED BY THE HOSPITAL, MAKING IT UNAVAILABLE FOR EVALUATION BY THORATEC. THROMBOEMBOLISM IS A KNOWN RISK FOR ANY TYPE OF CIRCULATORY SUPPORT DEVICE. THE CLINICAL RESULTS SECTION OF THE APPROVED LABELING FOR THE THORATEC VAD NOTES THAT 28% OF PATIENTS IN THE BRIDGE TO TRANSPLANT CLINICAL STUDY AND 38% OF PATIENTS IN THE POST-CARDIOTOMY RECOVERY STUDY SHOWED SOME EVIDENCE OF THROMBOEMBOLISM. THEREFORE, THE REPORTED INCIDENT IS CONSISTENT WITH THE LABELED RISKS OF THE DEVICE.