HEARTMATE II

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-11-17 for HEARTMATE II manufactured by Thoratec.

Event Text Entries

[61118949] Pump thrombosis. Pt was doing well; complained of dizziness; diuretics stopped. Seen in office. Echo revealed left ventricle dilated. Started inotrope support, high dose heparin. Pump exchange on (b)(6) 2016. Discharged to home on (b)(6) 2016.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6132019
MDR Report Key6132019
Date Received2016-11-17
Date of Report2016-11-07
Date of Event2016-10-13
Date Added to Maude2016-11-29
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameHEARTMATE II
Generic NameLEFT VENTRICULAR ASSIST DEVICE (LVAD)
Product CodeOKR
Date Received2016-11-17
OperatorLAY USER/PATIENT
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerTHORATEC
Manufacturer AddressBURLINGTON MA US


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2016-11-17

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