FDA Adverse Event Injury Summary report: N

ARCTIC FRONT CARDIAC CRYOABLATION CATHETER

MDR report key: 2191462 · Received August 4, 2011

Report

Report Number
3002648230-2011-00111
Event Type
Injury
Date Received
August 4, 2011
Date of Event
July 6, 2011
Report Date
July 6, 2011
Manufacturer
MEDTRONIC CRYOCATH LP
Product Code
OAE
PMA / PMN Number
P100010
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

THE DEVICE IS NOT AVAILABLE FOR INVESTIGATION. IT WAS DISCARDED AFTER THE PROCEDURE SINCE NO MALFUNCTION OCCURRED DURING THE PROCEDURE.

Description of Event or Problem · 1

A CRYOABLATION PROCEDURE WAS PERFORMED AND THREE PULMONARY VEIN ISOLATIONS WERE COMPLETED. SIXTY SECONDS INTO THE FIRST ABLATION ON THE RSPV, WHILE PACING THE PHRENIC NERVE AND FEELING THE PATIENT'S CHEST, THE PHYSICIAN NOTICE A LOSS OF PHRENIC NERVE CAPTURE. THE ABLATION WAS IMMEDIATELY STOPPED AND NO FURTHER ABLATIONS WERE PERFORMED. AFTER 45 MINUTES, THERE WAS SOME RECOVERY OF THE PHRENIC NERVE, BUT IT WAS WEAK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARCTIC FRONT CARDIAC CRYOABLATION CATHETER OAE MEDTRONIC CRYOCATH LP 2AF232 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 47 YR Disability