FDA Adverse Event Injury Summary report: N

INTELLAMAP ORION

MDR report key: 21840903 · Received April 15, 2025

Report

Report Number
2124215-2025-22855
Event Type
Injury
Date Received
April 15, 2025
Date of Event
April 9, 2025
Report Date
June 9, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
DRF
UDI-DI
08714729841968
PMA / PMN Number
K143481
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DETAILED PRODUCT INFORMATION WAS NOT PROVIDED TO BSC. WE COMPLETED A GOOD FAITH EFFORT TO OBTAIN THE INFORMATION, BUT IT WAS NOT AVAILABLE BECAUSE DEVICE WAS DISCARDED. BECAUSE THE PRODUCT IS UNKNOWN, WE ARE UNABLE TO PROVIDE THE UNIQUE IDENTIFIER (UDI) AND OTHER SPECIFIC PRODUCT INFORMATION. IT WAS INDICATED THAT THE DEVICE WILL NOT BE RETURNED FOR EVALUATION. IF THERE IS ANY FURTHER RELEVANT INFORMATION OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE FILED. PREMARKET / 510(K) # K143481, K192360, K220796.

Additional Manufacturer Narrative · 0

DETAILED PRODUCT INFORMATION WAS NOT PROVIDED TO BSC. WE COMPLETED A GOOD FAITH EFFORT TO OBTAIN THE INFORMATION, BUT IT WAS NOT AVAILABLE BECAUSE DEVICE WAS DISCARDED. BECAUSE THE PRODUCT IS UNKNOWN, WE ARE UNABLE TO PROVIDE THE UNIQUE IDENTIFIER (UDI) AND OTHER SPECIFIC PRODUCT INFORMATION. IT WAS INDICATED THAT THE DEVICE WILL NOT BE RETURNED FOR EVALUATION. IF THERE IS ANY FURTHER RELEVANT INFORMATION OBTAINED, A SUPPLEMENTAL MEDWATCH WILL BE FILED. PREMARKET / 510(K) # K143481, K192360, K220796.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A REDO PULMONARY VEIN ISOLATION (PVI) PROCEDURE, AN INTELLAMAP ORION CATHETER AND A INTELLANAV STABLEPOINT CATHETER WERE SELECTED FOR USE. SUDDENLY, THE PATIENT EXPERIENCED A PERICARDIAL EFFUSION. A PERICARDIAL PUNCTURE WAS PERFORMED TO TREAT THE EFFUSION. THE PATIENT IS STILL IN UNSTABLE CONDITION AND IS RECOVERING IN ICU. THE PHYSICIAN SAID THAT THE DEVICES WERE WORKING NORMALLY IN THIS PROCEDURE. THE PROCEDURE OUTCOME WAS THAT THE PROCEDURE WAS COMPLETED WITH THE SAME CATHETERS THAT WERE USED BEFORE THE COMPLICATION. NO DEVICES WILL BE RETURNED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A REDO PULMONARY VEIN ISOLATION (PVI) PROCEDURE, AN INTELLAMAP ORION CATHETER AND A INTELLANAV STABLEPOINT CATHETER WERE SELECTED FOR USE. SUDDENLY, THE PATIENT EXPERIENCED A PERICARDIAL EFFUSION. A PERICARDIAL PUNCTURE WAS PERFORMED TO TREAT THE EFFUSION. THE PATIENT IS STILL IN UNSTABLE CONDITION AND IS RECOVERING IN ICU. THE PHYSICIAN SAID THAT THE DEVICES WERE WORKING NORMALLY IN THIS PROCEDURE. THE PROCEDURE OUTCOME WAS THAT THE PROCEDURE WAS COMPLETED WITH THE SAME CATHETERS THAT WERE USED BEFORE THE COMPLICATION. NO DEVICES WILL BE RETURNED. IT WAS FURTHER REPORTED THAT NO RESISTANCE WAS FELT WITH THE SHEATH NOR GUIDEWIRE. THE CATHETER WAS IN THE LEFT ATRIUM WHEN THE COMPLICATION OCCURRED. EFFUSION/TAMPONADE WAS OBSERVED 5 MINUTES AFTER ABLATION HAD STARTED. NO IMAGING WAS PERFORMED TO LOCATE THE PERFORATION. LAST UPDATE PROVIDED ON THE PATIENT STATUS WAS THAT THE PATIENT WAS STILL RECOVERING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
111032 INTELLAMAP ORION CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING DRF BOSTON SCIENTIFIC CORPORATION M004RC64S0 08714729841968

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention| H INTELLANAV STABLEPOINT OI| INTELLANAV STABLEPOINT OI