| Brand Name | CentriMag Blood Pump |
| Common Device Name | Control, Pump Speed, Cardiopulmonary Bypass |
| 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 | 50721469 |
| Report Number | 3003306248-2026-00296 |
| Device Sequence Number | 18701046 |
| Product Code |
DWA
|
| UDI-Device Identifier | 07640135140627 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | SP |
| PMA/510(K) Number | K093832 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| 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 | 102954 |
| Device Catalogue Number | 102954 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/21/2026 |
| Initial Report FDA Received Date | 09/10/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| 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 Sex | Unknown |
|
|