CENTRIMAG 2ND GENERATION PRIMARY CONSOLE 201-90411

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2020-01-13 for CENTRIMAG 2ND GENERATION PRIMARY CONSOLE 201-90411 manufactured by Thoratec Switzerland Gmbh.

Event Text Entries

[175023512] This event was also reported against the centrimag motor under mfr. Report #2916596-2020-00002. Patient info was requested but not provided. No further information was provided. A supplemental report will be submitted when the manufacturer? S investigation is completed.
Patient Sequence No: 1, Text Type: N, H10


[175023513] It was reported that the patient was on bi-vad centrimag (cmag) support with complaint of no flow showing on the right ventricular assist device (rvad) side. Patient was asymptomatic and flow appeared normal as patient was stable. Attempted new flow probe on the right side to no avail. Used the flow probe from the left side to ensure the flow probe worked and it did. That same flow probe was then attached to the rvad console and did not record a flow. The team then decided to switch out the rvad console with the backup console and flow again was recording. When the original rvad was attached to the mock loop, flow was normal. No further information was provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2916596-2019-06108
MDR Report Key9582048
Report SourceHEALTH PROFESSIONAL
Date Received2020-01-13
Date of Report2020-03-13
Date of Event2019-12-16
Date Mfgr Received2020-03-10
Date Added to Maude2020-01-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. BOB FRYC
Manufacturer Street6035 STONERIDGE DRIVE
Manufacturer CityPLEASANTON CA 94588
Manufacturer CountryUS
Manufacturer Postal94588
Manufacturer Phone7818528204
Manufacturer G1THORATEC SWITZERLAND GMBH
Manufacturer StreetTECHNOPARKSTRASSE 1
Manufacturer CityZURICH CH-8005
Manufacturer CountrySZ
Manufacturer Postal CodeCH-8005
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCENTRIMAG 2ND GENERATION PRIMARY CONSOLE
Generic NameCONTROL, PUMP SPEED, CARDIOPULMONARY BYPASS
Product CodeDWA
Date Received2020-01-13
Model Number201-90411
Catalog Number201-90411
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTHORATEC SWITZERLAND GMBH
Manufacturer AddressTECHNOPARKSTRASSE 1 ZURICH CH-8005 SZ CH-8005


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-01-13

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