ABBOTT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-12-07 for ABBOTT manufactured by Abbott.

Event Text Entries

[130198489] Pt presented with multiple vad pump stop, low flow alarms, and warnings to replace controller - which had been happening since (b)(6) 2018. He was admitted to hosp for perc lead repair. This was completed on (b)(6) 2018. Pt continued to have alarms over the weekend and underwent hm2 pump exchange on (b)(6) 2018.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8155418
MDR Report Key8155418
Date Received2018-12-07
Date of Report2018-12-04
Date of Event2018-10-10
Date Facility Aware2018-10-24
Report Date2018-12-04
Date Reported to FDA2018-12-04
Date Added to Maude2018-12-12
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 NameABBOTT
Generic NameHEARTMATE 2 LVAD
Product CodeOKR
Date Received2018-12-07
Returned To Mfg2018-10-26
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Age2 MO
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerABBOTT
Manufacturer Address6035 STONERIDGE DR. PLEASANTON CA 94588 US 94588


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Life Threatening 2018-12-07

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