HEARTMATE MOBILE POWER UNIT, EU 107758

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,foreign report with the FDA on 2020-03-30 for HEARTMATE MOBILE POWER UNIT, EU 107758 manufactured by Thoratec Corporation.

Event Text Entries

[187038968] Manufacturer investigation conclusion: the reported event, of damaged o-rings in the mpu power lead connectors, was confirmed when the unit was checked by technical service. Both the o-rings on both the black and white power cable connectors were worn and frayed. The mpu patient cable was replaced. The mpu battery door was also damaged; the bottom housing was replaced. The software on the mpu was upgraded to the current version. The mpu was tested and returned to the rental/loaner pool. No further information was provided. The manufacturer is closing the file on this event.
Patient Sequence No: 1, Text Type: N, H10


[187038969] It was reported that the device was returned for routine maintenance. The technician recognized a damaged connector isolation. No further information was provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2916596-2020-01443
MDR Report Key9901231
Report SourceDISTRIBUTOR,FOREIGN
Date Received2020-03-30
Date of Report2020-03-30
Date of Event2019-09-30
Date Mfgr Received2020-03-09
Device Manufacturer Date2016-04-26
Date Added to Maude2020-03-30
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
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
Manufacturer ContactMR. BOB FRYC
Manufacturer Street6035 STONERIDGE DRIVE
Manufacturer CityPLEASANTON CA 94588
Manufacturer CountryUS
Manufacturer Postal94588
Manufacturer Phone7818528204
Manufacturer G1THORATEC CORPORATION
Manufacturer Street6035 STONERIDGE DRIVE
Manufacturer CityPLEASANTON CA 95488
Manufacturer CountryUS
Manufacturer Postal Code95488
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHEARTMATE MOBILE POWER UNIT, EU
Generic NameVENTRICULAR (ASSISST) BYPASS
Product CodeDSQ
Date Received2020-03-30
Returned To Mfg2019-10-31
Model Number107758
Catalog Number107758
Lot Number173585
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerTHORATEC CORPORATION
Manufacturer Address6035 STONERIDGE DRIVE PLEASANTON CA 95488 US 95488


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-30

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