FDA Adverse Event Injury Summary report: N

PARADISE ULTRASOUND RENAL DENERVATION SYSTEM

MDR report key: 24754221 · Received April 1, 2026

Report

Report Number
3010024164-2026-00002
Event Type
Injury
Date Received
April 1, 2026
Date of Event
March 3, 2026
Report Date
March 31, 2026
Manufacturer
RECOR MEDICAL, INC.
Product Code
QYI
UDI-DI
00810008950036
PMA / PMN Number
P220023
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

EVENT: RENAL ARTERY DISSECTION. EVENT DESCRIPTION: 40 YR OLD MALE PATIENT UNDERWENT RENAL DENERVATION PROCEDURE ON (B)(6) 2026. AFTER SONICATION OF THE LEFT MAIN RENAL ARTERY, A DISSECTION WAS NOTED IN ONE OF THE BRANCHES OF LEFT MAIN RENAL ARTERY. IT WAS CONFIRMED THAT THE DISSECTION WAS CAUSED DUE TO INADVERTENT USE OF AN OVERSIZED BALLOON (7 MM BALLOON IN A 4.8 MM VESSEL) BECAUSE OF INACCURATE MEASUREMENT OF THE VESSEL DIAMETER FROM PRE-PROCEDURAL CT SCAN. TO MANAGE THE DISSECTION, AN ONYX BALLOON (MEDTRONIC) WAS INFLATED AT THE DISSECTION SITE FOR 3 MINS TO FACILITATE THE REAPPOSITION OF THE DISSECTION FLAP AND TO SUPPORT SPONTANEOUS SEALING OF THE DISSECTION. THE EVENT RESOLVED, PATIENT WAS STABLE POST PROCEDURE AND DISCHARGED ON (B)(6) 2025 AFTER 24 HOURS OF OBSERVATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
817755 PARADISE ULTRASOUND RENAL DENERVATION SYSTEM ABLATION CATHETER RENAL DENERVATION QYI RECOR MEDICAL, INC. PRDS-067-02 M4901 00810008950036

Patients

Seq Age Sex Outcome Treatment
1 40 YR Male Required Intervention