FDA Adverse Event Injury Summary report: N

VARIPULSE¿ BI-DIRECTIONAL CATHETER

MDR report key: 24852497 · Received April 11, 2026

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

Additional Manufacturer Narrative · 0

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).

Description of Event or Problem · 0

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