FDA Adverse Event Malfunction Summary report: N

FARADRIVE STEERABLE SHEATH CLEAR

MDR report key: 22178857 · Received June 10, 2025

Report

Report Number
2124215-2025-38054
Event Type
Malfunction
Date Received
June 10, 2025
Date of Event
May 16, 2025
Report Date
June 10, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
DRA
UDI-DI
00191506043131
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING THE PULMONARY VEIN ISOLATION PROCEDURE TO TREAT PAROXYSMAL ATRIAL FIBRILLATION IN THE LEFT ATRIUM, FARADRIVE STEERABLE SHEATH CLEAR, WAS SELECTED FOR USE. IT HAS BEEN MENTIONED THAT AIR CONTAMINATION WAS NOTED AT THE THREE-WAY STOPCOCK. FARAWAVE WAS INSIDE WHEN AIR CONTAMINATION WAS NOTED. THE AIR WAS CONSTANTLY BEING WITHDRAWN DURING ASPIRATION WHEN REMOVING THE FARAWAVE FROM THE FARADRIVE. THE PROCEDURE WAS COMPLETED SUCCESSFULLY BY USING ORIGINAL DEVICE. NO PATIENT COMPLICATIONS HAVE BEEN REPORTED. THE PRODUCT IS NOT EXPECTED TO BE RETURNED AS IT WAS DISCARDED IN FACILITY. IT WAS FURTHER INFORMED: A LOT OF AIR WAS FOUND WHEN THE CATHETER WAS REMOVED FROM THE SHEATH. THE AIR NEVER DISAPPEARED EVEN AFTER MULTIPLE ASPIRATIONS. A PUMP WAS USED FOR THE IRRIGATION OF SHEATH. IRRIGATION WAS DONE AT 60 CC/H. THE GUIDEWIRE WAS RIGHT AT THE TIP OF THE CATHETER INSIDE THE SHEATH. NO OTHER ISSUE HAS BEEN REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
619152 FARADRIVE STEERABLE SHEATH CLEAR CATHETER, STEERABLE DRA BOSTON SCIENTIFIC CORPORATION CL13716 00191506043131

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown