FDA Warns on Medtronic Heartware Ventricular Assist Device

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FDA is warning healthcare providers about the possibility that patients who have Medtronic’s Heartware Ventricular Assist Device (HVAD) System and appear to present with pump thrombosis may instead have a welding defect in the internal pump causing the pump to malfunction. According to a just-released Medtronic Urgent Medical Device Correction, the company is conducting an investigation to identify which HVAD pumps may be affected. Meanwhile, the agency has issued a letter to healthcare providers to make them aware of the problem and recommend actions to take to manage patient care.

 

FDA continues to stand by a 6/2021 communication that did not recommend the elective removal of properly functioning systems. “Decisions about removing or exchanging the Medtronic HVAD System should be made by health care providers and patients on a case-by-case basis, considering the patient’s clinical status and surgical risks,” the agency says.

 

The HVAD is approved as a bridge to heart transplantation in patients who are at risk of mortality from end-stage left ventricular heart failure, for heart tissue recovery, and as destination therapy in patients for whom a heart transplant is not planned.

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