FARAWAVE
Report
- Report Number
- 2124215-2026-12928
- Event Type
- Injury
- Date Received
- March 9, 2026
- Date of Event
- July 9, 2025
- Report Date
- April 23, 2026
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- QZI
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
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. D2A: COMMON DEVICE NAME: PERCUTANEOUS CARDIAC ABLATION CATHETER FOR TREATMENT OF ATRIAL FIBRILLATION WITH IRREVERSIBLE ELECTROPORATION.
PER LITERATURE REVIEW, IT WAS REPORTED THAT PHRENIC NERVE INJURY OCCURRED. THIS STUDY AIMED TO EVALUATE THE INCIDENCE AND CHARACTERISTICS OF PHRENIC NERVE INJURY (PNI) DURING PULSE FIELD ABLATION (PULSE FIELD ABLATION (PFA) USING SEQUENTIAL COMPOUND MOTOR ACTION POTENTIAL (CMAP) MONITORING AND ASSESS DIAPHRAGMATIC FUNCTION AT DISCHARGE. THIS PROSPECTIVE STUDY INCLUDED 64 CONSECUTIVE PATIENTS UNDERGOING PFA FOR AF. RIGHT PHRENIC NERVE FUNCTION WAS MONITORED USING CMAP DURING ABLATION. A BASELINE AMPLITUDE WAS MEASURED BEFORE RIGHT PULMONARY VEIN ABLATION AND SUBSEQUENTLY MONITORED SEQUENTIALLY THROUGHOUT THE PROCEDURE. IN CASE OF INTRA-PROCEDURAL PNI, ALL PATIENTS UNDERWENT A CHEST X-RAY, AND THE LAST 25 ALSO HAD A FLUOROSCOPIC LOOP THE FOLLOWING DAY. PNI OCCURRED IN 26 PATIENTS. INCOMPLETE RECOVERY WAS OBSERVED IN 12 THE END OF THE PROCEDURE. CHEST X-RAYS WERE NORMAL IN ALL CASES. AMONG THE LAST 25 PATIENTS, 12 EXPERIENCED INTRA-PROCEDURAL PNI AND UNDERWENT FLUOROSCOPIC ASSESSMENT AT DISCHARGE, OF WHOM 6 PATIENTS HAD PERSISTENT INCOMPLETE PNI. THE OVERALL INCIDENCE OF PNI AT DISCHARGE WAS 6 OUT OF 25. FOLLOW-UP FLUOROSCOPY CONFIRMED RECOVERY IN 4 OF 5 PATIENTS REASSESSED, WHILE 1 SHOWED PERSISTENT DYSFUNCTION AT 3 MONTHS. NO DEVICE IS EXPECTED TO RETURN AS THIS IS FROM A LITERATURE REVIEW.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 605888 | FARAWAVE | NO MATCH | QZI | BOSTON SCIENTIFIC CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |