INTELLAMAP ORION
Report
- Report Number
- 2124215-2026-23356
- Event Type
- Injury
- Date Received
- April 29, 2026
- Date of Event
- April 21, 2026
- Report Date
- May 26, 2026
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- DRF
- UDI-DI
- 08714729841968
- PMA / PMN Number
- K143481
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
G4: K192360, K220796. 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.
IT WAS REPORTED THAT DURING AN ATRIAL FIBRILLATION PULMONARY VEIN ISOLATION PROCEDURE, AN INTELLAMAP ORION CATHETER WAS SELECTED FOR USE. 60 MINUTES INTO THE ORION MAPPING PROCEDURE, A DECREASE IN BLOOD PRESSURE WAS OBSERVED. THE BLOOD PRESSURE DID NOT RETURN TO NORMAL OVER TIME, AND IT WAS CONFIRMED THROUGH AN ECHOCARDIOGRAM THAT A PERICARDIAL EFFUSION OCCURRED, INDICATING A STATE OF CARDIAC TAMPONADE. PERICARDIOCENTESIS WITH DRAINAGE WAS PERFORMED AND THE SYMPTOMS IMPROVED. THE PATIENT WAS TRANSFERRED FROM THE GENERAL WARD TO THE HIGH CARE UNIT. THE PATIENT IS CURRENTLY NOT PRESENTING ANY WORSENING OF SYMPTOMS RELATED TO THE CARDIAC TAMPONADE. THE DEVICE WAS DISPOSED AND WILL NOT RETURN FOR ANALYSIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 295430 | INTELLAMAP ORION | CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING | DRF | BOSTON SCIENTIFIC CORPORATION | M004RC64S0 | 0038691826 | 08714729841968 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Hospitalization| R |