| Brand Name | CentriMag Blood Pump |
| Common Device Name | Pump, Blood, Cardiopulmonary Bypass, Non-Roller Type |
| 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 | 50281500 |
| Report Number | 3003306248-2026-00262 |
| Device Sequence Number | 15877514 |
| Product Code |
KFM
|
| UDI-Device Identifier | 07640135140627 |
| UDI-Public | (01)07640135140627 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TN |
| Initial Reporter Country | US |
| PMA/510(K) Number | K020271 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/10/2026 |
| 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 | 102953 |
| Device Catalogue Number | 102953 |
| Was Device Available for Evaluation? |
No
|
| 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 | 07/24/2026 |
| Supplement Date Received by Manufacturer | 09/04/2026
|
| Initial Report FDA Received Date | 08/17/2026 |
| Supplement Report FDA Received Date | 09/10/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|