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 2020-02-17 for CENTRIMAG 2ND GENERATION PRIMARY CONSOLE 201-90411 manufactured by Thoratec Switzerland Gmbh.

Event Text Entries

[179620001] The device was returned for investigation. The evaluation is not yet complete. 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


[179620002] It was reported that the gen 2 centrimag (cmag) was unable to power on with ac power. The unit is running only on dc power. He said he has tried a new ac power cord with no changes. The fuses were blown at first. Centrimag in question sent to thoratec for repair. Centrimag loaner had been put in place of unit until repair was complete. No patient involvement, problem was discovered during daily inspection.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2916596-2020-00513
MDR Report Key9715562
Report SourceHEALTH PROFESSIONAL
Date Received2020-02-17
Date of Report2020-02-17
Date of Event2020-01-28
Date Mfgr Received2020-01-28
Date Added to Maude2020-02-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
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 Received2020-02-17
Returned To Mfg2020-01-30
Model Number201-90411
Catalog Number201-90411
Lot NumberIFS101676
Device Expiration Date2018-08-31
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrN
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 2020-02-17

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