This regulatory report is being submitted as part of a retrospective review and remediation per (b)(4) due to an fda audit observation.Product event summary: (b)(4) was not returned for evaluation.This complaint is associated with a clinical adverse event.Information received from the site indicated that the patient experienced respiratory acidosis and a confused mentality.The patient was reintubated due to poor lung care and recovered; however, after two days, the patient experienced a recurrence of respiratory failure, which required reintubation, and a tracheostomy was performed.Based on the available information, including the occurrence of the event within 30 days of implant, the device may have caused or contributed to the reported event.Per the instructions for use, respiratory dysfunction is a known potential complication associated with the implantation of a vad.There was no evidence that the patient had a history of similar adverse events.Possible clinical factors that may have contributed to this event include the patient¿s pre-existing history and related comorbidities, the progression of their underlying disease, issues related to the therapeutic use of anticoagulant and antiplatelet medications and the patient's complex post-operative course.There are possible patient, pharmacological and procedural factors that may have contributed to this event.This information was received from the hvad destination therapy post approval study.Investigation of this event is completed and the file will be closed.If new information is received, the file will be re-opened and a supplemental will be submitted.If information is provided in the future, a supplemental report will be issued.
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It was reported that the patient experienced respiratory acidosis and a confused mentality.The patient was reintubated due to poor lung care.The patient recovered, however, after two days, the patient experienced a recurrence of respiratory failure requiring reintubation and a tracheostomy was performed.The ventricular assist device (vad) remains in use.No further patient complications have been reported as a result of this event.
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