FDA Adverse Event Malfunction Summary report: N

TACTICATH¿ CONTACT FORCE ABLATION CATHETER, SENSOR ENABLED¿ BID CURVE D-F

MDR report key: 16992075 · Received May 24, 2023

Report

Report Number
3008452825-2023-00214
Event Type
Malfunction
Date Received
May 24, 2023
Date of Event
May 18, 2023
Report Date
August 8, 2023
Manufacturer
ST. JUDE MEDICAL
Product Code
OAE
UDI-DI
05415067027641
PMA / PMN Number
P130026
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PO
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IT WAS REPORTED THAT THE TACTICATH WAS EXPIRED AT THE TIME OF USE. THE DEVICE WAS NOT RETURNED FOR ANALYSIS. HOWEVER, TACTICATH SE BATCH NUMBER 8012218 EXPIRED ON NOVEMBER 30, 2022 WHICH WAS PRIOR TO THE REPORTED EVENT DATE OF MAY 18, 2023. A REVIEW OF DISTRIBUTION RECORDS CONFIRMED THAT THIS PRODUCT WAS DISTRIBUTED PRIOR TO ITS EXPIRATION DATE. THE DEVICE HISTORY RECORD WAS REVIEWED TO ENSURE THAT EACH MANUFACTURING AND INSPECTION OPERATION WAS PERFORMED, INCLUDING VERIFICATION OF THE EXPIRATION DATE LISTED ON THE PRODUCT LABEL. THE CAUSE OF THE USE OF EXPIRED PRODUCT IS CONSISTENT WITH USER ERROR.

Description of Event or Problem · 0

DURING A VENTRICULAR TACHYCARDIA ABLATION PROCEDURE, AN EXPIRED ABLATION CATHETER WAS USED WITH NO CONSEQUENCES TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
948154 TACTICATH¿ CONTACT FORCE ABLATION CATHETER, SENSOR ENABLED¿ BID CURVE D-F CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FIBRILLATION OAE ST. JUDE MEDICAL A-TCSE-DF 8012218 05415067027641

Patients

Seq Age Sex Outcome Treatment
1 Unknown