FDA Adverse Event Injury Summary report: N

ARCTIC FRONT ADVANCE PRO CARDIAC CRYOABLATION CATHETER

MDR report key: 10362353 · Received August 4, 2020

Report

Report Number
3002648230-2020-00393
Event Type
Injury
Date Received
August 4, 2020
Date of Event
July 14, 2020
Report Date
August 4, 2020
Manufacturer
MEDTRONIC CRYOCATH LP
Product Code
OAE
PMA / PMN Number
P100010/S015
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

PRODUCT EVENT SUMMARY: THE DATA FILES WERE RETURNED AND ANALYZED. THE FILES SHOWED SYSTEM NOTICE #50028 ¿THERE IS A PROBLEM WITH THE INJECTION PROCESS¿ IN APPLICATIONS 1 AND 2 AND SYSTEM NOTICE #50012 ¿THE REFRIGERANT DELIVERY PATH IS OBSTRUCTED¿ IN THE BEGINNING OF THE APPLICATION 4 WITH A NON-RETURNED BALLOON CATHETER 2AF284 WITH LOT NUMBER 02424-37. THE FILES SHOWED AT LEAST 12 APPLICATIONS WERE PERFORMED WITH THIS CATHETER ON THE DATE OF THE EVENT. A CLINICAL ISSUE (PHRENIC NERVE PALSY (PNP)) OCCURRED DURING THE PROCEDURE. IN CONCLUSION, THE BALLOON CATHETER WAS NOT RETURNED FOR INVESTIGATION. THERE IS NO INDICATION OF A MALFUNCTION OF THE BALLOON CATHETER RELATED TO THE ADVERSE EVENT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A CRYOABLATION PROCEDURE, PHRENIC NERVE PALSY (PNP) OCCURRED, AND THE DOUBLE STOP TECHNIQUE WAS PERFORMED. THE PNP WAS 'ALMOST RECOVERED' AT THE END OF THE PROCEDURE. THE CASE WAS COMPLETED WITH RADIOFREQUENCY. THE PHRENIC NERVE RESPONSE WAS WEAKER THAN IT WAS INITIALLY. THE PATIENT WOULD BE MONITORED. IT WAS NOTED THE PNP HAD NOT RECOVERED AT DISCHARGE, BUT THE PATIENT WAS ASYMPTOMATIC. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
826109 ARCTIC FRONT ADVANCE PRO CARDIAC CRYOABLATION CATHETER PERCUTANEOUS CATHETER INTENDED FOR TREATMENT OF ATRIAL FIBRILLATION OAE MEDTRONIC CRYOCATH LP AFAPRO28 02424

Patients

Seq Age Sex Outcome Treatment
1 Other