HEARTWARE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-04-05 for HEARTWARE manufactured by Heartware.

Event Text Entries

[72367163] Patient with hvad implant on (b)(6), s/p pump exchange on increase and suspicion of pump thrombus. Hospital course c/b cardiogenic shock, increased pressor requirements, aki requiring cvvh. Pump flow and power increases again on (b)(6). On (b)(6) 2017, at request of family, withdrawal of all forms of support including vasopressors/inotropes, lvad and icd. Cause of death, lvad thrombosis leading to cardiac arrest.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number6474967
MDR Report Key6474967
Date Received2017-04-05
Date of Report2017-04-04
Date of Event2017-03-05
Date Facility Aware2017-03-05
Report Date2017-04-04
Date Reported to FDA2017-04-04
Date Added to Maude2017-04-10
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameHEARTWARE
Generic NameHVAD
Product CodeOKR
Date Received2017-04-05
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Age3 DA
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerHEARTWARE
Manufacturer Address500 OLD CONNECTICUT PATH FRAMINGHAM MA 01701 US 01701


Patients

Patient NumberTreatmentOutcomeDate
101. Death; 2. Hospitalization 2017-04-05

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