| Brand Name | CENTRIMAG MOTOR, US |
| Common Device Name | Blood Pump For Ecmo, Long-Term (> 6 Hours) Use |
| Manufacturer (Section D) |
| THORATEC SWITZERLAND GMBH |
| technoparkstrasse 1 |
| zurich CH-80 05 |
| SZ CH-8005 |
|
| Manufacturer (Section G) |
| THORATEC SWITZERLAND GMBH |
| technoparkstrasse 1 |
|
| zurich CH-80 05 |
|
SZ
CH-8005
|
|
| Manufacturer Contact |
|
fredric
gold
|
| 6035 stoneridge drive |
| pleasanton, CA 94588
|
|
+1(781)852-8207
|
|
| MDR Report Key | 25563562 |
| Report Number | 3003306248-2026-00236 |
| Device Sequence Number | 21335207 |
| Product Code |
QNR
|
| UDI-Device Identifier | 07640135140078 |
| UDI-Public | (01)07640135140078(11)200412 |
| Combination Product (Y/N) | N |
| Initial Reporter State | CA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K020271 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Biomedical Engineer
|
| Type of Report
| Initial,Followup,Followup |
| Report Date (Section B) |
09/30/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | 102956 |
| Device Catalogue Number | 102956 |
| Device Lot Number | 7511142 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 06/11/2026 |
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/08/2026 |
| Supplement Date Received by Manufacturer | 06/30/2026 09/25/2026
|
| Initial Report FDA Received Date | 06/19/2026 |
| Supplement Report FDA Received Date | 07/16/2026 09/30/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 04/12/2020 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Age | 69 YR |
| Patient Sex | Male |
| Patient Weight | 165 LB |