FDA Adverse Event Injury Summary report: N

FARAWAVE

MDR report key: 23782608 · Received December 11, 2025

Report

Report Number
2124215-2025-90448
Event Type
Injury
Date Received
December 11, 2025
Date of Event
November 10, 2025
Report Date
December 11, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
QZI
UDI-DI
00191506043216
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D2A: COMMON DEVICE NAME: PERCUTANEOUS CARDIAC ABLATION CATHETER FOR TREATMENT OF ATRIAL FIBRILLATION WITH IRREVERSIBLE ELECTROPORATION; REPORTED HERE AS THE COMMON DEVICE NAME EXCEEDED THE CHARACTER LIMIT FOR DESIGNATED FIELD. DETAILED PRODUCT INFORMATION WAS NOT PROVIDED TO BSC. WE COMPLETED A GOOD FAITH EFFORT TO OBTAIN THE INFORMATION, BUT IT WAS NOT AVAILABLE BECAUSE <<INSERT REASON (DEVICE WAS DISCARDED, ETC.)>>. BECAUSE THE PRODUCT IS UNKNOWN, WE ARE UNABLE TO PROVIDE THE UNIQUE IDENTIFIER (UDI) AND OTHER SPECIFIC PRODUCT INFORMATION. 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 FEW WEEKS FOLLOWING AN ABLATION PROCEDURE TO TREAT PAROXYSMAL ATRIAL FIBRILLATION (A FIB) BY USING THE FARAWAVE ABLATION CATHETER, THE PATIENT WAS SENT TO THE EMERGENCY DEPARTMENT FOR A STROKE. THE PATIENT WAS GIVEN UNKNOWN TREATMENT FROM THAT POINT ON AND IS EXPECTED TO FULLY RECOVER. THE DEVICE WILL NOT BE RETURNED AS IT HAS ALREADY BEEN DISPOSED BY CUSTOMER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2626642 FARAWAVE No Match QZI BOSTON SCIENTIFIC CORPORATION 00191506043216

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention| H