The syncardia 70 cc temporary total artificial heart (tah-t) is an implantable pulsatile biventricular replacement device that replaces a patient's native ventricles and valves and pumps blood to both the pulmonary and systemic circulation systems.The syncardia 70 cc tah-t is indicated for use as a bridge to transplantation in cardiac transplant-eligible candidates at risk of imminent death from biventricular failure.The syncardia tah-t system is intended for use inside and outside the hospital.Investigation summary: intermacs patient registry data collected from july 1, 2019 through september 30, 2020 regarding adverse events was reviewed.Patients were de-identified therefore a one-to-one correlation could not be made between the patient and the lot number of the implanted tah-t.With a review of the available information, there is no evidence of a device malfunction or performance issues that would impact the reported events.Possible clinical factors that may have contributed to these events include the patients pre-existing history and related comorbidities, the progression of their underlying disease, issues related to the therapeutic use of anticoagulants, antiplatelet medications and the patient's complex post-operative course.There are possible patient, pharmacological and procedural factors that may have contributed to these events.This device is used for treatment, not diagnosis.(b)(6).
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While supported by the tah-t, the patient experienced the following adverse events as defined by intermacs: 5 days post implant - respiratory failure.17 days post implant - bleeding.39 days post implant - infection i location pulmonary i type: bacterial.81 days post implant - infection i location positive blood cultures i type: fungal.118 days post implant - infection i location positive blood cultures, pulmonary i type: bacterial.125 days post implant - bleeding.158 days post implant - neurological dysfunction - seizure.The patient subsequently expired with a cause of death listed as circulatory: end stage cardiomyopathy after 169 days of tah-t support.
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