FDA Adverse Event Other Summary report: N

FARAWAVE CATHETER - FARAWAVE PULSED FIELD ABLATION (PFA)

MDR report key: 22944154 · Received September 2, 2025

Report

Report Number
MW5175530
Event Type
Other
Date Received
September 2, 2025
Date of Event
July 31, 2025
Report Date
July 30, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
QZI
Report Source
Voluntary report
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

INITIALLY REPORTED A 116 ERROR OCCURRED AT THE TIME OF CONNECTION. THE CABLE WAS REPLACED AND THE PENTARAY NAV SH WAS REPLACED. THE PROCEDURE WAS COMPLETED WITHOUT PATIENT CONSEQUENCE. ADDITIONAL INFORMATION WAS RECEIVED ON 01-AUG-2025. PATIENT IMPACT. BLOOD PRESSURE DECREASED. THERE WAS NO CARDIAC TAMPONADE OR SIMILAR ISSUES. THE PROCEDURE WAS PERFORMED WITH A FARAPULSE. NO EXTENDED HOSPITALIZATION. THE PHYSICIAN¿S OPINION ON THE RELATIONSHIP BETWEEN THE EVENT AND THE PRODUCT WAS THAT THERE WAS NO RELATIONSHIP WITH THE PRODUCT. NO ABNORMALITIES OBSERVED PRIOR TO USE OF THE PRODUCT NOR DURING USE OF THE PRODUCT. AFTER THE PROCEDURE, IT WAS CONFIRMED THAT THE PATIENT¿S BLOOD PRESSURE DECREASED. CARDIAC TAMPONADE WAS NOT CONFIRMED. 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
1335553 FARAWAVE CATHETER - FARAWAVE PULSED FIELD ABLATION (PFA) PERCUTANEOUS CARDIAC ABLATION CATHETER FOR TREATMENT OF ATRIAL FIBRILLATION WITH QZI BOSTON SCIENTIFIC CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown