FARAWAVE
Report
- Report Number
- 2124215-2026-12814
- Event Type
- Injury
- Date Received
- March 9, 2026
- Date of Event
- July 30, 2025
- Report Date
- May 4, 2026
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- QZI
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
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. THE DEVICE RETURN AVAILABILITY AND DETAILED PRODUCT INFORMATION COULD NOT BE RETRIEVED SINCE THE EVENT WAS REVIEWED FROM A LITERATURE STUDY. BECAUSE THE PRODUCT IS UNKNOWN, WE ARE UNABLE TO PROVIDE THE UNIQUE IDENTIFIER (UDI) AND OTHER SPECIFIC PRODUCT INFORMATION. ONCE INVESTIGATION IS COMPLETE, A SUPPLEMENTAL MEDWATCH WILL BE FILED.
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. THE DEVICE RETURN AVAILABILITY AND DETAILED PRODUCT INFORMATION COULD NOT BE RETRIEVED SINCE THE EVENT WAS REVIEWED FROM A LITERATURE STUDY. BECAUSE THE PRODUCT IS UNKNOWN, WE ARE UNABLE TO PROVIDE THE UNIQUE IDENTIFIER (UDI) AND OTHER SPECIFIC PRODUCT INFORMATION. INVESTIGATION SUMMARY: BASED ON THE AVAILABLE INFORMATION, ALTHOUGH THE PRODUCT WAS NOT RETURNED, IT WAS DETERMINED THAT THE BRAIN INJURY IS A KNOWN INHERENT RISK OF USE OF THIS DEVICE. DEVICE TECHNICAL ANALYSIS: IT WAS INDICATED THE DEVICE IS UNAVAILABLE FOR RETURN; THEREFORE, A TECHNICAL ANALYSIS OF THE COMPLAINT DEVICE COULD NOT BE COMPLETED. LABELING REVIEW: THE DEVICE WAS USED FOR PERSISTENT ATRIAL FIBRILLATION; THIS IS CONSIDERED OFF-LABEL USE OF THE DEVICE. THE CATHETER IS INTENDED TO BE USED TO TREAT PAROXYSMAL ATRIAL FIBRILLATION (PAF), AND THIS PROCEDURE IS NOT CONSIDERED PART OF THE TREATMENT OF PAF. RISK REVIEW: A RISK REVIEW PERFORMED FOR THE FARAWAVE DEVICE CONFIRMED THAT THE EVENT OF BRAIN INJURY AND USER USED INCORRECT PRODUCT FOR INTENDED USE ARE KNOWN EVENT DEFINED IN THE PRODUCT'S RISK MANAGEMENT DOCUMENTATION. THIS EVENT TYPE HAS BEEN ACCOUNTED FOR DURING PRODUCT RISK ANALYSIS TO SUPPORT ACCEPTABLE RISK BENEFIT FOR THE PRODUCT. PRODUCT RISK BENEFIT INCLUDES CONSIDERATION OF RISK SEVERITY AND RATE, AND THE OVERALL RESIDUAL RISK OF THE FARAWAVE DEVICE IS ACCEPTABLE. INVESTIGATION CONCLUSION: BASED ON THE INFORMATION PROVIDED, THE REPORTED EVENT OF BRAIN INJURY IS A KNOWN INHERENT RISK OF THE FARAWAVE DEVICE. BRAIN INJURY IS CONSIDERED WITHIN THE RISK THRESHOLD FOR EMBOLISM. EMBOLISM IS AN EXPECTED PROCEDURAL COMPLICATION ADDRESSED WITHIN THE IFU FOR THE FARAWAVE CATHETER. THERE WERE NO ALLEGATIONS OF A DEVICE DEFICIENCY CONTRIBUTING TO THE REPORTED ADVERSE EVENT, AND THE DEVICE HAS NOT BEEN RETURNED TO BSC FOR ANALYSIS AT THIS TIME.
PER LITERATURE REVIEW, IT WAS REPORTED THAT: IN THIS SINGLE-CENTER STUDY AT THE (B)(6) HOSPITAL OF VALENCIA BETWEEN (B)(6) 2022 AND (B)(6) 2023, FORTY-FIVE PATIENTS WITH SYMPTOMATIC PAROXYSMAL AND PERSISTENT ATRIAL FIBRILLATION UNDERWENT PULMONARY VEIN ISOLATION WITH PULSE FIELD ABLATION (PFA). AT 24 HOURS AFTER THE PROCEDURE, PATIENTS UNDERWENT A 1.5T BRAIN MAGNETIC RESONANCE IMAGING(MRI) SCAN TO DETECT NEW ISCHEMIC OR HEMORRHAGIC BRAIN LESIONS. AS A RESULT, THREE PATIENTS SHOWED NEW LESIONS ON THE BRAIN MRI SCAN. ONE PATIENT EXPERIENCED A TRANSIENT ISCHEMIC ATTACK (TIA) WITH MIXED APHASIA, RECOVERING WITHIN THE NEXT 24 HOURS, AND TWO PATIENTS HAD SILENT CEREBRAL LESIONS (SCLS). PATIENTS WITH BRAIN LESIONS EXHIBITED A SIGNIFICANTLY LARGER LEFT ATRIAL VOLUME THAN THOSE WITHOUT LESIONS. IN THE 2 PATIENTS WITH SCL, LESION RESOLUTION WAS CONFIRMED ON THE FOLLOW-UP MRI SCAN. THE PATIENT WITH TIA HAD A LESION IN THE LEFT PARIETAL REGION ASSOCIATED WITH TRANSIENT MIXED APHASIA. HE WAS A 51-YEAR-OLD MAN WITH PERSISTENT AF DIAGNOSED IN 2022. CARDIOVERSION WAS PERFORMED DURING THE ABLATION. THE TOTAL PROCEDURE TIME WAS 105 MINUTES. IN 1 OF THE PATIENTS WITH SCL, A SINGLE LESION IN THE RIGHT SEMI-OVAL CENTER MEASURING 5 BY 4 MILLIMETER WAS DOCUMENTED. HE WAS A 64 YEAR OLD MAN WITH PERSISTENT ATRIAL FIBRILLATION DIAGNOSED IN 2022. THE OTHER PATIENT WITH SCL ON MRI SHOWED A SINGLE LESION IN THE RIGHT CEREBELLAR REGION MEASURING 6 B 4 MILLIMETER. SHE WAS A 71 YEAR OLD PATIENT WITH A HISTORY OF ISCHEMIC HEART DISEASE, DIAGNOSED WITH PAROXYSMAL ATRIAL FIBRILLATION. IN FOLLOW-UP, THE PATIENT WITH TIA REFUSED FURTHER CONTROL MRI SCANS. THE TWO PATIENTS WITH THE SCL UNDERWENT A NEW CEREBRAL MRI SCAN AT 90 DAYS, CONFIRMING IN THAT THE LESIONS HAD HEALED WITHOUT CHRONIC SCARRING. NO DEVICE IS EXPECTED TO RETURN AS THIS IS FROM A LITERATURE REVIEW.
PER LITERATURE REVIEW, IT WAS REPORTED THAT: IN THIS SINGLE-CENTER STUDY AT THE UNIVERSITY CLINICAL HOSPITAL OF VALENCIA BETWEEN OCTOBER 2022 AND DECEMBER 2023, FORTY-FIVE PATIENTS WITH SYMPTOMATIC PAROXYSMAL AND PERSISTENT ATRIAL FIBRILLATION UNDERWENT PULMONARY VEIN ISOLATION WITH PULSE FIELD ABLATION (PFA). AT 24 HOURS AFTER THE PROCEDURE, PATIENTS UNDERWENT A 1.5T BRAIN MAGNETIC RESONANCE IMAGING(MRI) SCAN TO DETECT NEW ISCHEMIC OR HEMORRHAGIC BRAIN LESIONS. AS A RESULT, THREE PATIENTS SHOWED NEW LESIONS ON THE BRAIN MRI SCAN. ONE PATIENT EXPERIENCED A TRANSIENT ISCHEMIC ATTACK (TIA) WITH MIXED APHASIA, RECOVERING WITHIN THE NEXT 24 HOURS, AND TWO PATIENTS HAD SILENT CEREBRAL LESIONS (SCLS). PATIENTS WITH BRAIN LESIONS EXHIBITED A SIGNIFICANTLY LARGER LEFT ATRIAL VOLUME THAN THOSE WITHOUT LESIONS. IN THE 2 PATIENTS WITH SCL, LESION RESOLUTION WAS CONFIRMED ON THE FOLLOW-UP MRI SCAN. THE PATIENT WITH TIA HAD A LESION IN THE LEFT PARIETAL REGION ASSOCIATED WITH TRANSIENT MIXED APHASIA. HE WAS A 51-YEAR-OLD MAN WITH PERSISTENT AF DIAGNOSED IN 2022. CARDIOVERSION WAS PERFORMED DURING THE ABLATION. THE TOTAL PROCEDURE TIME WAS 105 MINUTES. IN 1 OF THE PATIENTS WITH SCL, A SINGLE LESION IN THE RIGHT SEMI-OVAL CENTER MEASURING 5 BY 4 MILLIMETER WAS DOCUMENTED. HE WAS A 64 YEAR OLD MAN WITH PERSISTENT ATRIAL FIBRILLATION DIAGNOSED IN 2022. THE OTHER PATIENT WITH SCL ON MRI SHOWED A SINGLE LESION IN THE RIGHT CEREBELLAR REGION MEASURING 6 B 4 MILLIMETER. SHE WAS A 71 YEAR OLD PATIENT WITH A HISTORY OF ISCHEMIC HEART DISEASE, DIAGNOSED WITH PAROXYSMAL ATRIAL FIBRILLATION. IN FOLLOW-UP, THE PATIENT WITH TIA REFUSED FURTHER CONTROL MRI SCANS. THE TWO PATIENTS WITH THE SCL UNDERWENT A NEW CEREBRAL MRI SCAN AT 90 DAYS, CONFIRMING IN THAT THE LESIONS HAD HEALED WITHOUT CHRONIC SCARRING. NO DEVICE IS EXPECTED TO RETURN AS THIS IS FROM A LITERATURE REVIEW.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 122885 | FARAWAVE | NO MATCH | QZI | BOSTON SCIENTIFIC CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |