ARCTIC FRONT ADVANCE PRO¿ CARDIAC CRYOABLATION CATHETER
Report
- Report Number
- 2649622-2025-34436
- Event Type
- Injury
- Date Received
- December 10, 2025
- Date of Event
- November 24, 2025
- Report Date
- February 19, 2026
- Manufacturer
- MEDTRONIC PUERTO RICO VILLALBA
- Product Code
- OAE
- UDI-DI
- 00763000524197
- PMA / PMN Number
- P100010
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
PRODUCT EVENT SUMMARY: THE DATA FILES WERE RETURNED AND ANALYZED. 1 PATIENT FILE WAS RECEIVED AND RECORDED ON THE REPORTED DATE OF THE EVENT. THE PATIENT FILE SHOWED 7 APPLICATIONS WERE PERFORMED USING THE RETURNED CATHETER. THE PATIENT FILE SHOWED 4 APPLICATIONS WERE PERFORMED USING A NON-RETURNED CATHETER. PATIENT FILE DID NOT SHOW ANY SYSTEM NOTICE ON THE REPORTED DATE OF THE EVENT. THE RECEIVED FAILURE FILE CONTAINED FAILURE RECORDS FOR THE DATE OF THE EVENT. THE FAILURE FILE SHOWED SYSTEM NOTICE 50005 (THE SAFETY SYSTEM HAS DETECTED FLUID IN THE CATHETER AND STOPPED THE INJECTION) ON THE REPORTED DATE OF THE EVENT. THE FAILURE FILE SHOWED SYSTEM NOTICE 50006 (THE SAFETY SYSTEM HAS DETECTED BLOOD IN THE CATHETER HANDLE STOPPED THE INJECTION AND DISABLED THE VACUUM) ON THE REPORTED DATE OF THE EVENT. IN CONCLUSION, THE REPORTED SYSTEM NOTICE WAS CONFIRMED THROUGH DATA ANALYSIS. THE PHYSICAL PRODUCT IS YET TO BE ANALYZED. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
PRODUCT EVENT SUMMARY: THE AFAPRO28 BALLOON CATHETER WITH LOT NUMBER 26988 WAS RETURNED AND ANALYZED. EXTERNAL VISUAL INSPECTION OF THE BALLOON SEGMENT SHOWED BLOOD/FLUID INSIDE THE BALLOON. THE CATHETER SMART CHIP DATA WAS DOWNLOADED AND REVIEWED. DATA INDICATED THE CATHETER WAS USED FOR 7 APPLICATIONS ON THE REPORTED EVENT DATE. DURING FUNCTIONAL TESTING, THE CONSOLE TERMINATED THE APPLICATION AND TRIGGERED SYSTEM NOTICE 50005 "THE SAFETY SYSTEM DETECTED FLUID IN THE CATHETER AND STOPPED THE INJECTION." PRESSURE TESTING AND INSPECTION WAS PERFORMED ON THE SUB-COMPONENTS OF THE BALLOON, HANDLE, AND SHAFT SEGMENTS. DURING INSPECTION OF THE SHAFT SEGMENT, A SHAFT BREACH WAS OBSERVED 19.5 INCHES FROM THE CATHETER TIP. DURING INSPECTION OF THE HANDLE SEGMENT, BLOOD/LIQUID WAS OBSERVED INSIDE THE HANDLE. IN CONCLUSION, THE REPORTED VISIBLE BLOOD WAS CONFIRMED THROUGH ANALYSIS. THE BALLOON CATHETER FAILED THE RETURNED PRODUCT INSPECTION DUE TO THE BREACH OBSERVED ON THE CATHETER SHAFT. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
IT WAS REPORTED THAT DURING A CRYO ABLATION PROCEDURE, A SYSTEM NOTICE WAS RECEIVED INDICATING THAT THE SAFETY SYSTEM DETECTED BLOOD IN THE CATHETER HANDLE, THE INJECTION WAS STOPPED AND THE VACUUM DISABLED. THE CATHETER WAS IMMEDIATELY DISCONNECTED FROM THE CONSOLE AND BLOOD WAS VISIBLE IN THE CATHETER. THE PATIENT HAD AN ASYSTOLE DIRECTLY AFTER THE SYSTEM NOTICE BUT QUICKLY RECOVERED WITH CARDIOPULMONARY RESUSCITATION AND MEDICATION ADMINISTERED. THE CASE WAS COMPLETED WITH CRYO. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2877327 | ARCTIC FRONT ADVANCE PRO¿ CARDIAC CRYOABLATION CATHETER | CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FIBRILLATION | OAE | MEDTRONIC PUERTO RICO VILLALBA | AFAPRO28 | 26988 | 00763000524197 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Life Threatening |