FDA Adverse Event Malfunction Summary report: N

FARADRIVE STEERABLE SHEATH CLEAR

MDR report key: 20191693 · Received September 11, 2024

Report

Report Number
2124215-2024-56722
Event Type
Malfunction
Date Received
September 11, 2024
Date of Event
September 1, 2024
Report Date
November 8, 2024
Manufacturer
FARAPULSE, INC.
Product Code
DRA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN
Health Professional
Yes

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 A PULSED FIELD ABLATION (PFA) PROCEDURE A FARADRIVE STEERABLE SHEATH CLEAR WAS SELECTED FOR USE. WHEN THE PHYSICIAN INSERTED THE CATHETER INTO THE SHEATH, A LOT OF AIR BUBBLES WERE SUCKED OUT. THE PHYSICIAN DECIDED TO COMPLETE THE PROCEDURE WITH THE SAME DEVICE CAREFULLY. NO PATIENT COMPLICATIONS WERE REPORTED. THE DEVICE IS EXPECTED TO RETURN FOR LABORATORY ANALYSIS.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A PULSED FIELD ABLATION (PFA) PROCEDURE A FARADRIVE STEERABLE SHEATH CLEAR WAS SELECTED FOR USE. WHEN THE PHYSICIAN INSERTED THE CATHETER INTO THE SHEATH, A LOT OF AIR BUBBLES WERE SUCKED OUT. THE PHYSICIAN DECIDED TO COMPLETE THE PROCEDURE WITH THE SAME DEVICE CAREFULLY. NO PATIENT COMPLICATIONS WERE REPORTED. THE DEVICE IS NO LONGER EXPECTED TO RETURN FOR LABORATORY ANALYSIS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2020593 FARADRIVE STEERABLE SHEATH CLEAR CATHETER, STEERABLE DRA FARAPULSE, INC. CL12889

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown