FDA Adverse Event Injury Summary report: N

INTELLAMAP ORION HIGH RESOLUTION MAPPING CATHETER

MDR report key: 10471628 · Received August 31, 2020

Report

Report Number
2134265-2020-12025
Event Type
Injury
Date Received
August 31, 2020
Date of Event
March 1, 2017
Report Date
August 31, 2020
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
DRF
PMA / PMN Number
K143481
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICES HAVE NOT BEEN RECEIVED FOR ANALYSIS. UPON RECEIPT AND COMPLETION OF THE FAILURE ANALYSIS OF THE COMPLAINT DEVICES, IF THERE IS ANY FURTHER RELEVANT INFORMATION FROM THAT REVIEW, A SUPPLEMENTAL MEDWATCH WILL BE FILED. AGE AT TIME OF EVENT: 64.27 YEARS (STANDARD DEVIATION 9.86) SEX: 22 MALES / 15 FEMALES.

Description of Event or Problem · 1

ROTTNER, LAURA ET AL. "DIRECT COMPARISON OF POINT-BY-POINT AND RAPID ULTRA-HIGH-RESOLUTION ELECTROANATOMICAL MAPPING IN PATIENTS SCHEDULED FOR ABLATION OF ATRIAL FIBRILLATION". JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, VOL 28, NO. 3, 2017, PP. 289-297. WILEY, DOI:10.1111/JCE. INTRODUCTION: THREE-DIMENSIONAL ELECTROANATOMICAL MAPPING (EAM) IS AN ESTABLISHED TOOL FACILITATING CATHETER ABLATION. IN THIS CONTEXT, THE NOVEL RHYTHMIA SYSTEM SETS A NEW BAR IN FAST HIGH-RESOLUTION MAPPING. THE AIM OF THIS STUDY WAS TO DIRECTLY COMPARE POINT-BY-POINT VERSUS RAPID ULTRA-HIGH-RESOLUTION EAM IN PATIENTS SCHEDULED FOR ABLATION OF ATRIAL FIBRILLATION (AF) WITH FOCUS ON PROCEDURAL DATA, ACUTE SUCCESS, AND MIDTERM CLINICAL OUTCOME. THE ARTICLE REPORTED THAT OF 37 PATIENTS, ONE PERICARDIAL TAMPONADE REQUIRING PERICARDIOCENTESIS OCCURRED AND WAS JUDGED AS "PROBABLY" UNRELATED TO THE BASKET CATHETER. IN ADDITION, ONE TRANSIENT AIR EMBOLISM OCCURRED IN THE RIGHT CORONARY ARTERY, RESOLVING SPONTANEOUSLY AFTER SIX MINUTES. ALL CATHETERS WERE CAREFULLY CHECKED AND FOUND TO BE FREE FROM ANY VISIBLE THROMBUS FORMATION AT THE END OF THE ABLATION PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
938634 INTELLAMAP ORION HIGH RESOLUTION MAPPING CATHETER CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING DRF BOSTON SCIENTIFIC CORPORATION 87035

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention