The syncardia 70cc 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 70cc 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: (b)(6) patient registry data collected between (b)(4) 2014 and (b)(4) 2017 regarding adverse events was retrospectively 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.These events were assessed and are being reported in response to an update to the mdr complaint sources.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.If new or additional information is received in the future, syncardia will file a follow-up mdr.(b)(4).
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While supported by the tah-t, the patient experienced the following adverse events as defined by intermacs: 0 day post implant - bleeding; 6 days post implant - respiratory failure; 9 days post implant - infection/location: pulmonary/type: fungal; 21 days post implant - neurological dysfunction - cva/location: right hemisphere: frontal/severity: other; 8 days post implant - bleeding; 22 days post implant - bleeding; 41 days post implant - bleeding; 63 days post implant - infection/location: pump/related - drive line, other/type: unknown; 118 days post implant - psychiatric episode; 110 days post implant - renal dysfunction; 117 days post implant - bleeding; 120 days post implant - respiratory failure; 159 days post implant - infection/location: pulmonary/type: fungal; 159 days post implant - respiratory failure; 160 days post implant - bleeding; 165 days post implant - respiratory failure; 180 days post implant - psychiatric episode; 202 days post implant - infection/location: urinary tract/type: bacterial.The patient subsequently received a heart transplant after 227 days of tah-t support.
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