HEARTMATE 3 SYSTEM CONTROLLER 106531US

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-31 for HEARTMATE 3 SYSTEM CONTROLLER 106531US manufactured by Thoratec Corporation.

Event Text Entries

[187040173] Manufacturer's investigation conclusion: the report of backup battery fault alarms was confirmed through the analysis of submitted data log files. The first three log files were retrieved from system controller sn (b)(6) and captured events in the date ranges of (b)(6) 2019, and (b)(6) 2019, per the timestamps. These logs captured multiple transient backup battery fault alarms as a result of active backup battery circuit faults. All of these events were triggered when the white power cable was captured as disconnected from external power and resolved when it was reconnected to external power. None of these events affected the controller's ability to support the pump at the set speed and no backup battery fault alarms were captured when the white power cable was captured as disconnected. The fourth submitted log file was retrieved from system controller sn (b)(4). Per the log file the controller was connected to an lvad on (b)(6) 2019 and supported the pump at the set speed without any atypical alarms or events being captured throughout the remainder of the log file. The log file was consistent with this controller being a replacement or back-up controller. The system controller used during the reported events was not returned for analysis. An attempt to obtain the product was unsuccessful. As a result, the root cause of the events captured in the submitted data log files could not be conclusively determined. However, based on the captured sequence of events and previous complaint experience, the events appear consistent with a possible connection issue between the system controller and its internal backup battery. Although the root cause of the backup battery fault alarms could not be conclusively determined, similar reports of backup battery fault alarms with unknown causes have been documented and corrective action (capa) has been initiated to investigate the issue. Reports of similar events will continue to be tracked and monitored. Heartmate 3 patient handbook section 5-"alarms and troubleshooting? And heartmate 3 instructions for use section 7-? Alarms and troubleshooting? Address all alarm conditions, including backup battery fault alarms, and the proper actions to take if the alarms cannot be resolved. Heartmate 3 instructions for use and heartmate 3 patient handbook both caution the users to call their hospital contacts if they think, for any reason, any portion of their equipment is not functioning as usual, is broken, or they are uncomfortable with the operation of the equipment. No further information was provided. The manufacturer is closing the file on this event.
Patient Sequence No: 1, Text Type: N, H10


[187040174] It was reported that the patient's system controller was exchanged due to backup battery fault alarms. The alarms resolved after system controller exchange.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2916596-2020-01753
MDR Report Key9902990
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-31
Date of Report2020-03-31
Date of Event2019-11-13
Date Mfgr Received2020-03-20
Device Manufacturer Date2017-11-08
Date Added to Maude2020-03-31
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 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 3 SYSTEM CONTROLLER
Generic NameVENTRICULAR (ASSISST) BYPASS
Product CodeDSQ
Date Received2020-03-31
Model Number106531US
Catalog Number106531US
Lot Number6437889
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerTHORATEC CORPORATION
Manufacturer Address6035 STONERIDGE DRIVE PLEASANTON CA 95488 US 95488


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-31

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