FDA Adverse Event Injury Summary report: N

NIOBE MNS SIEMENS

MDR report key: 13619859 · Received February 28, 2022

Report

Report Number
3003084417-2021-00401
Event Type
Injury
Date Received
February 28, 2022
Date of Event
December 10, 2021
Report Date
December 20, 2021
Manufacturer
STEREOTAXIS
Product Code
NDQ
PMA / PMN Number
K192775
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

THE PHYSICIAN HAD COMPLETED MAPPING AND MOST OF THE ABLATION, A FINAL ABLATION WAS PERFORMED CLOSE THE CORONARY SINUS OSTIUM AND THEN HEART BLOCK HAPPENED. THE PHYSICIAN WAITED ABOUT AN HOUR FOR CONDUCTION TO COME BACK, IT CAME BACK ABOUT 2:1, PLANNING TO MONITOR THE PATIENT FOR A FEW DAYS BEFORE DECIDING IF A PACEMAKER IS REQUIRED. THE NIOBE SYSTEM AND NAVIGANT SOFTWARE WERE USED ACCORDING TO THEIR LABELED INDICATIONS. THE PATIENT ANATOMY WAS THOUGHT BY THE PHYSICIAN TO HAVE CONTRIBUTED TO THE EVENT, WITH A POSSIBILITY OF THE AV NODE RUNNING THROUGH THE AREA OF ABLATION.

Description of Event or Problem · 0

THE PHYSICIAN HAD COMPLETED MAPPING AND MOST OF THE ABLATION, A FINAL ABLATION WAS PERFORMED CLOSE THE CORONARY SINUS OSTIUM AND THEN HEART BLOCK HAPPENED. THE PHYSICIAN WAITED ABOUT AN HOUR FOR CONDUCTION TO COME BACK, IT CAME BACK ABOUT 2:1, PLANNING TO MONITOR THE PATIENT FOR A FEW DAYS BEFORE DECIDING IF A PACEMAKER IS REQUIRED. THE NIOBE SYSTEM AND NAVIGANT SOFTWARE WERE USED ACCORDING TO THEIR LABELED INDICATIONS. THE PATIENT ANATOMY WAS THOUGHT BY THE PHYSICIAN TO HAVE CONTRIBUTED TO THE EVENT, WITH A POSSIBILITY OF THE AV NODE RUNNING THROUGH THE AREA OF ABLATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
685795 NIOBE MNS SIEMENS NIOBE ES SIEMENS NDQ STEREOTAXIS ES SIEMENS

Patients

Seq Age Sex Outcome Treatment
1 49 YR Male Other