FDA Adverse Event
Injury
Summary report: N
CRYOFLEX
MDR report key: 2383174
·
Received December 20, 2011
Report
- Report Number
- 2134151-2011-00020
- Event Type
- Injury
- Date Received
- December 20, 2011
- Report Date
- November 21, 2011
- Manufacturer
- MEDTRONIC ATS MEDICAL
- Product Code
- OCL
- PMA / PMN Number
- K053436
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
ANALYSIS: WITHOUT THE RETURN OF THE PRODUCT, NO DEFINITIVE CONCLUSION CAN BE MADE REGARDING THE CLINICAL OBSERVATION. REVIEW OF LITERATURE FOUND NO SIMILAR REPORTS.
Description of Event or Problem · 1
MEDTRONIC RECEIVED INFORMATION FROM A JOURNAL ARTICLE "CORONARY ARTERY SPASM AFTER CRYO MAZE III PROCEDURE" IN THE SOCIETY OF THORACIC SURGEONS (2011:92:1884-7) THAT A PATIENT HAD RIGHT CORONARY ARTERY SPASM DEVELOP AFTER THE CRYO MAZE III PROCEDURE USING AN ARGON-BASED CRYOABLATION SYSTEM WITH PROBE APPLICATION FOR A DURATION OF 120 SECONDS AT _100 DEGREES C. THE SPASM WAS REVERSED WITH INTRACORONARY NITROGLYCERIN WITH NO ADVERSE PATIENT EFFECTS. THE REGION OF SPASM SUGGESTED IT WAS A CONSEQUENCE OF PROXIMITY OF THE RIGHT CORONARY ARTERY TO THE RIGHT ATRIAL ABLATION LINES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CRYOFLEX | SURGICAL DEVICE, FOR ABLATION OF CARDIAC TISSUE | OCL | MEDTRONIC ATS MEDICAL | 60SF2-002 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |