FDA Adverse Event Malfunction Summary report: N

ROTALINK CATHETER

MDR report key: 1003409 · Received February 21, 2008

Report

Report Number
2134265-2008-00508
Event Type
Malfunction
Date Received
February 21, 2008
Report Date
January 28, 2008
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
MCX
PMA / PMN Number
P900056
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINANT INDICATED THAT THE DEVICE WILL NOT BE RETURNED FOR EVAL; THEREFORE, A FAILURE ANALYSIS OF THE COMPLAINT DEVICE COULD NOT BE COMPLETED. A REVIEW OF THE BATCH HISTORY, HISTORICAL TRENDING, AND SIMILAR COMPLAINT TRENDING REVIEW OF THE PRODUCT FAMILY WILL BE CONDUCTED. IF THERE IS ANY FURTHER RELEVANT INFO FROM THAT REVIEW, A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Description of Event or Problem · 1

SAME EVENT AS MFR REPORT #: 2134265-2008-00509. IT WAS REPORTED THAT SOMETIME "MID LAST YEAR" A BURR STALLED IN THE LESION. DETAILS OF THE PROCEDURE AND PT ARE UNK. THE BURR WAS EXCHANGED DURING THE PROCEDURE, AND PER THE PHYSICIAN THIS ISSUE MAY HAVE OCCURRED FOLLOWING DIFFICULTY WITH CONNECTING THE DEVICES DURING THE BURR EXCHANGE. IT WAS REPORTED THAT THE BURR WAS RECOVERED, THE PROCEDURE WAS COMPLETED SUCCESSFULLY AND THERE WERE NO PT COMPLICATIONS. THIS ISSUE WAS REPORTED BY THE PHYSICIAN "IN ORDER TO HIGHLIGHT THEIR NEED FOR SUPPORT AND TRAINING IN THE FUTURE WITH ROTABLATOR CASES, NOT BECAUSE THEY BELIEVED THE EVENTS WERE CAUSED BY PRODUCT FAULT OR FAILURE".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ROTALINK CATHETER MCX CATHETER, CORONARY ATHERECTOMY MCX BOSTON SCIENTIFIC CORPORATION

Patients

Seq Age Sex Outcome Treatment
1