TRUPULSE¿ GENERATOR
Report
- Report Number
- 2029046-2026-01306
- Event Type
- Malfunction
- Date Received
- April 21, 2026
- Date of Event
- March 26, 2026
- Report Date
- May 8, 2026
- Manufacturer
- BIOSENSE WEBSTER INC
- Product Code
- QZI
- UDI-DI
- 10846835025231
- PMA / PMN Number
- P240006
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PL
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
ADDITIONAL INFORMATION WAS RECEIVED ON 05-MAY-2026 WHICH INDICATED THAT THERE WAS NO PERFORATION/MYOCARDIAL INJURY. IF ADDITIONAL INFORMATION IS RECEIVED REGARDING THIS EVENT, A SUPPLEMENTAL 3500A REPORT WILL BE SUBMITTED TO THE FDA. MANUFACTURER'S REFERENCE NUMBER: (B)(4).
E1. INITIAL REPORTER PHONE: (B)(6). THE ¿SUSPECTED MEDICAL DEVICE¿ REPORTED IN SECTION D OF THIS REPORT IS NOT MARKETED IN USA OR APPROVED BY THE FDA. HOWEVER, IT IS BEING REPORTED AS BIOSENSE WEBSTER CONSIDERS THIS AS A SIMILAR DEVICE TO TRUPULSE¿ GENERATOR APPROVED UNDER P240006. THE HARDWARE INVESTIGATION HAS BEGUN BUT IT HAS NOT BEEN COMPLETED AT THIS TIME. WHEN THE INVESTIGATIONAL ANALYSIS HAS BEEN COMPLETED, A SUPPLEMENTAL 3500A REPORT WILL BE SUBMITTED. 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 AN ATRIAL FLUTTER (AFL) PROCEDURE WITH A TRUPULSE¿ GENERATOR AND A STEAM POP ISSUE WAS OBSERVED. IT WAS REPORTED THAT THERE WAS A STEAM POP (EXPLOSION OF THE TISSUE) DURING ABLATION ON THE INTERIOR OF THE LEFT ATRIUM. THERE WAS A RUPTURE OF THE TISSUE, SUPERFICIAL NOT VISIBLE. AFTER CHECKING THE VITAL SIGNALS, THERE WAS NO PATIENT CONSEQUENCE VISIBLE. NO DELAY. ADDITIONAL INFORMATION WAS RECEIVED. A DUAL ENERGY SMART TOUCH WAS INVOLVED IN THE ABLATION PROCESS. RADIO FREQUENCY ENERGY WAS BEING USED WHEN THE STEAM POP OCCURRED. THE RADIO FREQUENCY AND PFA ENERGY WERE USED EARLIER IN THE PROCEDURE BEFORE THE STEAM POP. TWO INDIFFERENT ELECTRODES WERE USED AT THE TIME OF USING RADIO FREQUENCY. POWER SETTING DURING THE RADIO FREQUENCY ABLATION WAS 40 WATTS. GENERATOR USED POWER CONTROL MODE. THE NOTED TEMPERATURE, IMPEDANCE AND POWER WERE 26-28C, 158-147OHM, 40W. THE LENGTH (MINUTES AND SECONDS) OF THE ABLATION CYCLE WHEN THE POP WAS OBSERVED AT THE SAME TIP POSITION WAS 20S, REST OF APPLICATIONS IN 4.1-5.2MM DISTANCE. NO ERRORS REPORTED BY THE BIOSENSE WEBSTER SYSTEMS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 327809 | TRUPULSE¿ GENERATOR | PERCUTANEOUS CARDIAC ABL CATH FOR TREATMT OF AFIB W IRREVERSIBLE ELECTROPORATION | QZI | BIOSENSE WEBSTER INC | 10846835025231 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |