FDA Adverse Event Injury Summary report: N

MAESTRO 4000 CONTROLLER

MDR report key: 23176252 · Received September 29, 2025

Report

Report Number
2124215-2025-68786
Event Type
Injury
Date Received
September 29, 2025
Date of Event
September 1, 2025
Report Date
December 23, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LPB
UDI-DI
08714729861911
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
RS
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

G4: PMA/510(K) # FIELD ON 3500A FORM P920047, P980003, P020025. 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.

Additional Manufacturer Narrative · 0

G4: PMA/510(K) # FIELD ON 3500A FORM P920047, P980003, P020025. 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 A MAESTRO GENERATOR AND BLAZER CATHETERS WERE SELECTED FOR USE. A SIGNIFICANT NUMBER OF PATIENTS WITH SUPRAVENTRICULAR TACHYCARDIA (SVT) FOLLOWED INDEX RADIO FREQUENCY ABLATION DONE AT THIS ACCOUNT REQUIRED REDO PROCEDURE DUE TO SVT RECURRENCE WITHIN SHORT TIME. LAST TIME THE ACCOUNT DID AV NODE REENTRY TACHYCARDIA (AVNRT) ABLATION AND PATIENT HAD RECURRENCE NEXT DAY. BOTH NON-IRRIGATED AND OPEN-IRRIGATED BLAZER CATHETERS WERE USED WITH STANDARD INPUT ABLATION PARAMETERS FOR SVT , HOWEVER, OUTPUT ABLATION PARAMETERS WERE NOT DIFFERENT FROM EXPECTED. THERE ARE 3 DIFFERENT CLINICIANS AT THIS ACCOUNT. ALL OF THEM ARE VERY EXPERIENCED BUT ALL OF THEM HAVE HAD THESE REDO PATIENTS. THEY HAVE HAD TO TAKE THESE PATIENTS TO THEIR MAIN ACCOUNT AND DO THESE PROCEDURES USING OTHER RF-GENERATORS AND OTHER CATHETERS. FUNCTIONAL TESTING WAS PERFORMED ACCORDING TO WORK INSTRUCTION, HOWEVER, NOTHING STRANGE WAS NOTED. FIELD SERVICE WAS REQUESTED. CATHETERS WOULD NOT BE RETURNED SINCE THEY FUNCTIONED AS INTENDED AND WERE DISCARDED POST PROCEDURE.

Description of Event or Problem · 0

IT WAS REPORTED THAT A MAESTRO GENERATOR AND BLAZER CATHETERS WERE SELECTED FOR USE. A SIGNIFICANT NUMBER OF PATIENTS WITH SUPRAVENTRICULAR TACHYCARDIA (SVT) FOLLOWED INDEX RADIO FREQUENCY ABLATION DONE AT THIS ACCOUNT REQUIRED REDO PROCEDURE DUE TO SVT RECURRENCE WITHIN SHORT TIME. LAST TIME THE ACCOUNT DID AV NODE REENTRY TACHYCARDIA (AVNRT) ABLATION AND PATIENT HAD RECURRENCE NEXT DAY. BOTH NON-IRRIGATED AND OPEN-IRRIGATED BLAZER CATHETERS WERE USED WITH STANDARD INPUT ABLATION PARAMETERS FOR SVT , HOWEVER, OUTPUT ABLATION PARAMETERS WERE NOT DIFFERENT FROM EXPECTED. THERE ARE 3 DIFFERENT CLINICIANS AT THIS ACCOUNT. ALL OF THEM ARE VERY EXPERIENCED BUT ALL OF THEM HAVE HAD THESE REDO PATIENTS. THEY HAVE HAD TO TAKE THESE PATIENTS TO THEIR MAIN ACCOUNT AND DO THESE PROCEDURES USING OTHER RF-GENERATORS AND OTHER CATHETERS. FUNCTIONAL TESTING WAS PERFORMED ACCORDING TO WORK INSTRUCTION, HOWEVER, NOTHING STRANGE WAS NOTED. FIELD SERVICE WAS REQUESTED. CATHETERS WOULD NOT BE RETURNED SINCE THEY FUNCTIONED AS INTENDED AND WERE DISCARDED POST PROCEDURE. FURTHERMORE, IT WAS REPORTED THAT THE EVENT TOOK PLACE AT (B)(6) HOSPITAL. RESULTS OF FUNCTIONAL AND ELECTRICAL SAFETY TESTING CONFIRMED THIS MAESTRO 4K PROPERLY WORKING. MOREOVER, SIX ABLATIONS WERE MADE USING THE MAESTRO (3 ABLATIONS) AND A NON-BOSTON SCIENTIFIC GENERATOR (3 ABLATIONS) AT THE SAME CONDITIONS AND NO SIGNIFICANT DIFFERENCE BETWEEN LESIONS SIZES WAS SEEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1469475 MAESTRO 4000 CONTROLLER CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FLUTTER LPB BOSTON SCIENTIFIC CORPORATION 86248 0304211861 08714729861911

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention