FDA Adverse Event Malfunction Summary report: N

TACTICATH¿ QUARTZ CONTACT FORCE ABLATION CATHETER, 65MM

MDR report key: 15349248 · Received September 2, 2022

Report

Report Number
9680001-2022-00041
Event Type
Malfunction
Date Received
September 2, 2022
Date of Event
April 12, 2022
Report Date
November 9, 2022
Manufacturer
VENUSA DE MEXICO S.A. DE C.V.
Product Code
OAE
UDI-DI
07640157990033
PMA / PMN Number
P130026
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

ONE 65 MM TACTICATH QUARTZ CONTACT FORCE ABLATION CATHETER WAS RECEIVED FOR EVALUATION. ELECTRODES 1-4 MET SPECIFICATIONS DURING ELECTRICAL TESTING WITH NO OPEN OR SHORT CIRCUITS DETECTED. IN ADDITION, THE CATHETER MET SPECIFICATIONS DURING LEAK TESTING. THE DEVICE HISTORY RECORD WAS REVIEWED TO ENSURE THAT EACH MANUFACTURING AND INSPECTION OPERATION WAS PERFORMED. ADDITIONAL INFORMATION CONFIRMED THE EVENT DATE WAS APRIL 12, 2019. THE EXPIRATION DATE OF THE DEVICE WAS MAY 25, 2020.THEREFORE THE DEVICE WAS NOT EXPIRED WHEN USED

Description of Event or Problem · 0

DURING THE AF PROCEDURE, NOISE WAS NOTED. THE CATHETER WAS EXCHANGED AND THE PROCEDURE WAS COMPLETED WITH NO ADVERSE CONSEQUENCES TO THE PATIENT. IN REVIEW OF THE FILE, IT WAS DETERMINED THE DEVICE USED PAST THE EXPIRATION DATE.

Description of Event or Problem · 0

ADDITIONAL INFORMATION CONFIRMED THE EVENT DATE WAS APRIL 12, 2019. THE EXPIRATION DATE OF THE DEVICE WAS MAY 25, 2020. THEREFORE THE DEVICE WAS NOT EXPIRED WHEN USED AND IS NOT A REPORTABLE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
314844 TACTICATH¿ QUARTZ CONTACT FORCE ABLATION CATHETER, 65MM CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FIBRILLATION OAE VENUSA DE MEXICO S.A. DE C.V. PN-004 065 6321187 07640157990033

Patients

Seq Age Sex Outcome Treatment
1 Unknown