FDA Adverse Event Malfunction Summary report: N

RHYTHMIA HDX

MDR report key: 19143895 · Received April 19, 2024

Report

Report Number
2124215-2024-23909
Event Type
Malfunction
Date Received
April 19, 2024
Date of Event
March 26, 2024
Report Date
May 24, 2024
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OAD
UDI-DI
08714729966326
PMA / PMN Number
P020025
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, CH
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE HAS NOT BEEN RECEIVED FOR ANALYSIS. UPON RECEIPT AND COMPLETION OF THE FAILURE ANALYSIS OF THE COMPLAINT DEVICE, IF THERE IS ANY FURTHER RELEVANT INFORMATION FROM THAT REVIEW, A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Additional Manufacturer Narrative · 0

THE DEVICE HAS NOT BEEN RECEIVED FOR ANALYSIS. UPON RECEIPT AND COMPLETION OF THE FAILURE ANALYSIS OF THE COMPLAINT DEVICE, IF THERE IS ANY FURTHER RELEVANT INFORMATION FROM THAT REVIEW, A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING AN ABLATION PROCEDURE, AN UNKNOWN CATHETER WAS INSERTED INTO THE PATIENT AND THE CATHETER TEMPERATURE WAS "ABNORMAL." THE TEMPERATURE WAS AROUND 45 DEGREES CELSIUS. REPLACING THE "BIG END", REINSERTING AND UNPLUGGING THE TAIL WIRE, RESTARTING IT ALL DID NOT WORK. EVEN REPLACING IT WITH A NEW NEGATIVE ELECTRODE DID NOT WORK. ONLY WHEN THE SIGNAL STATION WAS TURNED OFF AND ONLY THE RF INSTRUMENT WAS TURNED ON, WOULD THE TEMPERATURE RETURN TO 35 DEGREES CELSIUS. AFTER REPLACING THE CONNECTION BOX - MAESTRO G2, THEY WERE ABLE TO CONTINUE THE PROCEDURE WITH THE SAME CATHETER. NO PATIENT COMPLICATIONS OCCURRED. IT IS UNKNOWN IF THE DEVICE WILL BE RETURNED FOR ANALYSIS.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING AN ABLATION PROCEDURE, AN UNKNOWN CATHETER WAS INSERTED INTO THE PATIENT AND THE CATHETER TEMPERATURE WAS "ABNORMAL." THE TEMPERATURE WAS AROUND 45 DEGREES CELSIUS. REPLACING THE "BIG END", REINSERTING AND UNPLUGGING THE TAIL WIRE, RESTARTING IT ALL DID NOT WORK. EVEN REPLACING IT WITH A NEW NEGATIVE ELECTRODE DID NOT WORK. ONLY WHEN THE SIGNAL STATION WAS TURNED OFF AND ONLY THE RF INSTRUMENT WAS TURNED ON, WOULD THE TEMPERATURE RETURN TO 35 DEGREES CELSIUS. AFTER REPLACING THE CONNECTION BOX - MAESTRO G2, THEY WERE ABLE TO CONTINUE THE PROCEDURE WITH THE SAME CATHETER. NO PATIENT COMPLICATIONS OCCURRED. IT IS UNKNOWN IF THE DEVICE WILL BE RETURNED FOR ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1081402 RHYTHMIA HDX COMPUTER, DIAGNOSTIC, PROGRAMMABLE OAD BOSTON SCIENTIFIC CORPORATION 87031 08714729966326

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown INTELLANAV MIFI OPEN IRRIGATED