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