FDA Adverse Event Malfunction Summary report: N

CARDIOLAB/COMBOLAB RECORDING SYSTEMS

MDR report key: 22039498 · Received May 16, 2025

Report

Report Number
MW5170536
Event Type
Malfunction
Date Received
May 16, 2025
Date of Event
April 15, 2025
Report Date
May 14, 2025
Manufacturer
GE HEALTHCARE, LLC
Product Code
DQK
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
OTHER
Health Professional
*

Narratives

Description of Event or Problem · 0

DURING A CAVO-TRICUSPID ISTHMUS ABLATION FOR RIGHT ATRIAL FLUTTER PROCEDURE, A NOISE ISSUE WAS NOTED ON THE NON-ABBOTT (GE) EGMS RESULTING IN A CLINICALLY SIGNIFICANT DELAY. THERE WAS NO NOISE ON THE ENSITE X ECGS OR EGMS, HOWEVER THERE WAS NOISE NOTED ON THE NON-ABBOTT (GE) CARDIOLAB EGMS. DESPITE SEEING CLEAN ENSITE X EGMS, THE CATHETERS COULD NOT BE VISUALIZED IN NAVX MODE. IN AN ATTEMPT TO TROUBLESHOOT, THE CASE WAS CLOSED ON THE ENSITE X SYSTEM AND A NEW CASE WAS REATTEMPTED, HOWEVER THIS RESULTED IN FLASHING ORANGE LIGHT ON THE AMPLIFIER. POWER CYCLING DID NOT RESOLVE THE ISSUE. TO RESOLVE THE NOISE ISSUE, IT WAS DETERMINED THAT THE NON-ABBOTT (GE) CARDIOLAB ACTIVE RIGHT LEG DRIVE HAD NOT BEEN SWITCHED TO PASSIVE IN THE SYSTEM CONFIGURATIONS. THE NON-ABBOTT (GE) RIGHT LEG LEAD WAS REMOVED FROM THE ENSITE X ECG OUTPUT MODULE AND CONNECTED DIRECTLY TO THE PATIENT. THE PROCEDURE WAS COMPLETED; HOWEVER, THE PATIENT WAS ANESTHETIZED FOR A CLINICALLY SIGNIFICANT LONGER PERIOD THAN NORMAL AND WAS CONSIDERED AN ADVERSE CONSEQUENCE BY THE PHYSICIAN. "THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2)".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
166700 CARDIOLAB/COMBOLAB RECORDING SYSTEMS COMPUTER, DIAGNOSTIC, PROGRAMMABLE DQK GE HEALTHCARE, LLC

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown