VARIPULSE¿ BI-DIRECTIONAL CATHETER
Report
- Report Number
- 2029046-2026-01179
- Event Type
- Injury
- Date Received
- April 11, 2026
- Date of Event
- March 7, 2026
- Report Date
- May 13, 2026
- Manufacturer
- BIOSENSE WEBSTER INC
- Product Code
- QZI
- PMA / PMN Number
- P240006
- Removal / Correction Number
- 3013300026-01/17/2025-00
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BE
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
D4: UDI: AS THE CATALOG/MODEL NUMBER WAS NOT PROVIDED, THE (01) GTIN IS NOT AVAILABLE. THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY BIOSENSE WEBSTER, INC., OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, BIOSENSE WEBSTER, INC., OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE. MANUFACTURER'S REFERENCE NUMBER: (B)(4).
IT WAS REPORTED THAT A PATIENT UNDERWENT A PVI (PULMONARY VEIN ISOLATION) ABLATION AND THE PATIENT EXPERIENCED A STROKE AND REQUIRED PROLONGED HOSPITALIZATION. AFTER THE PROCEDURE ON (B)(6), "EVERYTHING WAS OK"; HOWEVER, THE PATIENT WAS READMITTED TO THE HOSPITAL BECAUSE HE COULD NOT SEE VERY WELL. PATIENT HAD A CT (COMPUTED TOMOGRAPHY) SCAN AND THEY SAW A SMALL STROKE, A SMALL INJURY IN THE VISUAL CORTEX. THE PATIENT WAS ADMITTED FOR A COUPLE OF DAYS. A REQUEST FOR FOLLOW-UP HAS BEEN MADE TO IDENTIFY THE SPECIFIC CATHETER USED DURING THE PROCEDURE. AT THIS TIME, THE EVENT IS BEING REPORTED AS A CONSERVATIVE MEASURE, UNDER VARIPULSE¿ BI-DIRECTIONAL CATHETER WITH AN UNKNOWN PRODUCT CODE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 144323 | VARIPULSE¿ BI-DIRECTIONAL CATHETER | PERCUTANEOUS CARDIAC ABL CATH FOR TREATMT OF AFIB W IRREVERSIBLE ELECTROPORATION | QZI | BIOSENSE WEBSTER INC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |