FDA Adverse Event Malfunction Summary report: N

POLARIS DX¿ STEERABLE DIAGNOSTIC CATHETER

MDR report key: 2182964 · Received July 28, 2011

Report

Report Number
2134265-2011-03330
Event Type
Malfunction
Date Received
July 28, 2011
Date of Event
July 4, 2011
Report Date
July 4, 2011
Manufacturer
BOSTON SCIENTIFIC - SAN JOSE
Product Code
DRF
PMA / PMN Number
K924163
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

DEVICE EVALUATED BY MFR: VISUAL INSPECTION OF THE RETURNED DEVICE REVEALED THE DISTAL TUBING WAS FOUND SEPARATED FROM THE MAIN SHAFT OF THE CATHETER (PROXIMAL SHAFT BUTT BOND), EXPOSING THE INNER SPRING COIL. THE SPRING COIL WAS FOUND EXPOSED APPROXIMATELY 0.8700" IN LENGTH. THE DISTAL SECTION WAS FOUND STILL REMAINED CONNECTED TO THE MAIN BODY. THE BREAK HAD OCCURRED WHERE THE DISTAL TUBING AND THE MAIN BODY SECTIONS ARE JOINED TOGETHER (BUTT BOND). TRACES OF GLUE WERE SEEN ON THE DRAW DOWN AREA OF THE DISTAL TUBING. DRIED BLOOD WAS ALSO FOUND ON THE CATHETER'S TUBING SHAFT AND INSIDE THE DISTAL ASSEMBLY. TO FURTHER INVESTIGATE, THE MAIN BODY (PROXIMAL TUBING) WAS CUT NEAR THE BUTT BOND AREA. THE SPRING COIL WAS PULLED FROM THE MAIN BODY (PROXIMAL TUBING). THEN, THE MAIN BODY (PROXIMAL TUBING) WAS DISSECTED. DURING VISUAL INSPECTION OF THE MAIN BODY (PROXIMAL TUBING) WITH A MICROSCOPE, TRACES OF GLUE WERE SEEN INSIDE THE TUBING NEAR THE BUTT BOND AREA. IN ADDITION, THE MONEL SAFETY WIRE WAS OBSERVED LIFTING FROM THE DRAW DOWN. THE DRAW DOWN ON THE DISTAL TUBING WAS THEN DISSECTED. THE DISTAL TUBING AND THE MAIN BODY (PROXIMAL TUBING) WERE VISUALLY INSPECTED WHERE THE BREAK HAD OCCURRED (BUTT BOND), AND FOUND GLUE ON BOTH ENDS OF THE DISTAL TUBING AND THE MAIN BODY (PROXIMAL TUBING). INSPECTION OF THE INTERNAL COMPONENTS CONFIRMED THAT THE DEVICE WAS BUILT PER MANUFACTURING AND PRODUCT SPECIFICATIONS - NO ANOMALIES WERE OBSERVED. THE HANDLE VERIFIED NORMAL DURING VISUAL INSPECTION. THE ELECTRICAL CONNECTOR WAS INTACT. THERE WAS NO OTHER PHYSICAL DAMAGES OBSERVED IN THE UNIT DURING ANALYSIS. THE MANUFACTURING BATCH RECORD REVIEW CONFIRMED THAT THE DEVICE MET ALL MATERIAL, ASSEMBLY AND PERFORMANCE SPECIFICATIONS. THE MOST PROBABLE ROOT CAUSE WAS UNABLE TO BE DETERMINED. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING AN ELECTROPHYSIOLOGY PROCEDURE THE TIP SEPARATED. THE PROCEDURE WAS INDICATED TO UPGRADE THE PATIENT'S CURRENT DDD PACEMAKER TO A CARDIAC RESYNCHRONIZATION THERAPY PACEMAKER (CRT-P). ACCESS WAS OBTAINED VIA THE SUBCLAVIAN ARTERY. A POLARIS DX STEERABLE DIAGNOSTIC CATHETER WAS INSERTED INTO A NON-BSC DELIVERY SYSTEM WHEN THE PHYSICIAN NOTICED THAT THE INSULATION AT THE TIP OF THE POLARIS CATHETER WAS SEPARATED FROM THE INSULATION COVERING THE REMAINDER OF THE DEVICE. THE DEVICE DID NOT COME INTO CONTACT WITH THE PATIENT. THE PROCEDURE WAS COMPLETED WITH A DIFFERENT DEVICE. THERE WERE NO PATIENT COMPLICATIONS REPORTED AND THE

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING AN ELECTROPHYSIOLOGY PROCEDURE THE TIP SEPARATED. THE PROCEDURE WAS INDICATED TO UPGRADE THE PATIENT'S CURRENT DDD PACEMAKER TO A CARDIAC RESYNCHRONIZATION THERAPY PACEMAKER (CRT-P). ACCESS WAS OBTAINED VIA THE SUBCLAVIAN ARTERY. A POLARIS DX STEERABLE DIAGNOSTIC CATHETER WAS INSERTED INTO A NON-BSC DELIVERY SYSTEM WHEN THE PHYSICIAN NOTICED THAT THE INSULATION AT THE TIP OF THE POLARIS CATHETER WAS SEPARATED FROM THE INSULATION COVERING THE REMAINDER OF THE DEVICE. THE DEVICE DID NOT COME INTO CONTACT WITH THE PATIENT. THE PROCEDURE WAS COMPLETED WITH A DIFFERENT DEVICE. THERE WERE NO PATIENT COMPLICATIONS REPORTED AND THE

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POLARIS DX¿ STEERABLE DIAGNOSTIC CATHETER CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING DRF BOSTON SCIENTIFIC - SAN JOSE M0045572S0 14063525

Patients

Seq Age Sex Outcome Treatment
1 ACUITY BREAK-AWAY