FAST-CATH INTRODUCER
Report
- Report Number
- 3005334138-2022-00375
- Event Type
- Injury
- Date Received
- June 23, 2022
- Report Date
- June 29, 2022
- Manufacturer
- ST. JUDE MEDICAL
- Product Code
- DYB
- PMA / PMN Number
- K061015
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
THE RESULTS OF THE INVESTIGATION ARE INCONCLUSIVE SINCE THE DEVICE WAS NOT RETURNED FOR ANALYSIS. REVIEW OF THE DEVICE HISTORY RECORD WAS NOT POSSIBLE AS THE LOT NUMBER IS UNKNOWN. BASED ON THE INFORMATION RECEIVED, THE CAUSE OF THE REPORTED TAMPONADE / EFFUSION REMAINS UNKNOWN. PER THE IFU, CARDIAC PERFORATION IS A KNOWN RISK DURING THE USE OF THIS DEVICE.
THE FOLLOWING WAS PUBLISHED IN CARDIOLOGY JOURNAL 2022, VOL. 29, NO. 2, "ATRIAL LOW VOLTAGE AREAS: A COMPARISON BETWEEN ATRIAL FIBRILLATION AND SINUS RHYTHM" ; ET AL: ANA ANDRÉS LAHUERTA. ATRIAL FIBROSIS CAN PROMOTE ATRIAL FIBRILLATION (AF). ELECTROANATOMIC MAPPING (EAM) CAN PROVIDE INFORMATION REGARDING LOCAL VOLTAGE ABNORMALITIES THAT MAY BE USED AS A SURROGATE MARKER FOR FIBROSIS. SPECIFIC VOLTAGE CUT-OFF VALUES HAVE BEEN REPRODUCED ACCURATELY TO IDENTIFY FIBROSIS IN THE VENTRICLES, BUT THESE VALUES ARE NOT WELL DEFINED IN ATRIAL TISSUE THIS STUDY IS A PROSPECTIVE SINGLE-CENTER STUDY. PATIENTS WITH PERSISTENT AF REFERRED FOR ABLATION WERE INCLUDED. EAM WAS PERFORMED BEFORE ABLATION. WE RECORDED BIPOLAR SIGNALS, FIRST IN AF AND LATER IN SINUS RHYTHM (SR). TWO THRESHOLDS DELIMITED LOW-VOLTAGE AREAS (LVA), 0.5 AND 0.3 MV. WE COMPARED LVA EXTENSION BETWEEN MAPS IN SR AND AF IN EACH PATIENT. RESULTS: A TOTAL OF 23 PATIENTS WERE INCLUDED IN THE STUDY. ONE COMPLICATION OF CARDIAC TAMPONADE OCCURRED WHICH WAS SOLVED BY PERICARDIOCENTESIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1401001 | FAST-CATH INTRODUCER | INTRODUCER, CATHETER | DYB | ST. JUDE MEDICAL |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Required Intervention |