FDA Adverse Event
Malfunction
Summary report: N
CARTO
MDR report key: 23335331
·
Received October 20, 2025
Report
- Report Number
- MW5177525
- Event Type
- Malfunction
- Date Received
- October 20, 2025
- Report Date
- September 22, 2025
- Manufacturer
- BIOSENSE WEBSTER
- Product Code
- DQK
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT A CARDIAC TAMPONADE/CARDIAC PERFORATION/PERICARDIAL EFFUSION OCCURRED. CARTO RF USED DURING REDO PVI (NOT FARAPULSE SYSTEM). STEAM POP OCCURRED AT THE EUSTACHIAN RIDGE DURING CTI ABLATION WITH RESULTANT PERICARDIAL EFFUSION REQUIRING URGENT PERICARDIOCENTESIS PERFORMED WITH 610 ML OF VENOUS BLOOD AUTO TRANSFUSED. LATER LIMITED TTE ON (B)(6) 2025 SHOWED NO PERICARDIAL EFFUSION. THIS REPORT REFLECTS INFO RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).
Description of Event or Problem · 0
ADDITIONAL INFORMATION RECEIVED ON 11/6/2025 FOR REPORT MW5177525 TO UPDATE MANUFACTURER TO BIOSENSE WEBSTER, INC. AND PROCODE TO DQK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 299045 | CARTO | COMPUTER, DIAGNOSTIC, PROGRAMMABLE | DQK | BIOSENSE WEBSTER | CARTO RF |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |