FDA Adverse Event
Malfunction
Summary report: N
CARTO XP EP NAVIGATION SYSTEM
MDR report key: 1032444
·
Received April 16, 2008
Report
- Report Number
- 9681484-2008-00007
- Event Type
- Malfunction
- Date Received
- April 16, 2008
- Date of Event
- March 14, 2008
- Report Date
- March 18, 2008
- Manufacturer
- BIOSENCE WEBSTER, LTD (HAIFA, ISRAEL)
- Product Code
- DQK
- PMA / PMN Number
- K020863
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT THE MAP SHIFTED IN THE MIDDLE OF THE CASE. THERE WERE NO PATIENT CONSEQUENCES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CARTO XP EP NAVIGATION SYSTEM | COMPUTER, DIAGNOSTIC, PROGRAMMABLE | DQK | BIOSENCE WEBSTER, LTD (HAIFA, ISRAEL) | M-4700-01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |