FDA Adverse Event
Malfunction
Summary report: N
ADVISOR HD GRID, SENSOR ENABLED
MDR report key: 16385191
·
Received February 16, 2023
Report
- Report Number
- 16385191
- Event Type
- Malfunction
- Date Received
- February 16, 2023
- Date of Event
- February 1, 2023
- Report Date
- February 9, 2023
- Manufacturer
- ST. JUDE MEDICAL, INC.
- Product Code
- DRF
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- FL
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
EP (ELECTROPHYSIOLOGY) CATHETER, ABBOTT MAPPING CATHETER INSERTED INTO RIGHT GROIN. CATHETER SOFTWARE MALFUNCTIONED, WOULD NOT READ. CATHETER REMOVED FROM GROIN INTACT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 607936 | ADVISOR HD GRID, SENSOR ENABLED | CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING | DRF | ST. JUDE MEDICAL, INC. | 8650622 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 25185 DA | Male |