FDA Adverse Event
Malfunction
Summary report: N
THERMOCOOL SMARTTOUCH
MDR report key: 11258063
·
Received February 1, 2021
Report
- Report Number
- 11258063
- Event Type
- Malfunction
- Date Received
- February 1, 2021
- Date of Event
- February 11, 2020
- Report Date
- January 13, 2021
- Manufacturer
- BIOSENSE WEBSTER INC.
- Product Code
- LPB
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- IL
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
WE ARE REPORTING A TOTAL OF(B)(4) EVENTS WITH DIFFERENT MODELS OF ELECTROPHYSIOLOGICAL ABLATION CATHETERS BY BIOSENSE WEBSTER, WHICH OCCURRED IN THE PAST YEAR. IN THIS REPORT, WE HAVE LISTED (B)(4) EVENT OUT OF THE (B)(4) EVENTS. THE DETAILS ARE BELOW: BRAND NAME: SMART TOUCH BI-DIRECTIONAL CATHETER. MODEL/CATALOG #: D132705, LOT NUMBER: 30280891M, MALFUNCTION: MALFUNCTION: 106 FORCE SENSOR ERROR. D132705, 30283510M, MAP SENSOR ERROR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 154941 | THERMOCOOL SMARTTOUCH | CARDIAC ABLATION PERCUTANEOUS CATHETER | LPB | BIOSENSE WEBSTER INC. | D132705 | 30280891M AND 30283510M |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |