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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: THORATEC CORPORATION CENTRIMAG 1ST GENERATION BACKUP CONSOLE NON-RECHARGEABLE BACKUP BATTERY; Control, pump speed, cardiopulmonary bypass

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THORATEC CORPORATION CENTRIMAG 1ST GENERATION BACKUP CONSOLE NON-RECHARGEABLE BACKUP BATTERY; Control, pump speed, cardiopulmonary bypass Back to Search Results
Model Number 102958
Device Problem Failure to Power Up (1476)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/10/2024
Event Type  malfunction  
Manufacturer Narrative
No further information was provided.A supplemental report will be submitted once the manufacturer¿s investigation is completed.
 
Event Description
It was reported that the console would not turn on or charge.
 
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Brand Name
CENTRIMAG 1ST GENERATION BACKUP CONSOLE NON-RECHARGEABLE BACKUP BATTERY
Type of Device
Control, pump speed, cardiopulmonary bypass
Manufacturer (Section D)
THORATEC CORPORATION
6035 stoneridge drive
pleasanton CA 94588
Manufacturer (Section G)
THORATEC SWITZERLAND GMBH
technoparkstrasse 1
zurich CH-80 05
SZ   CH-8005
Manufacturer Contact
bob fryc
6035 stoneridge drive
pleasanton, CA 94588
7818528204
MDR Report Key18509406
MDR Text Key333105621
Report Number2916596-2024-00313
Device Sequence Number1
Product Code DWA
UDI-Device Identifier07640135140528
UDI-Public07640135140528
Combination Product (y/n)N
Reporter Country CodeUK
PMA/PMN Number
K093832
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 01/13/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/13/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model Number102958
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received01/10/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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