FDA Adverse Event Injury Summary report: N

INTELLAMAP ORION

MDR report key: 25038303 · Received April 29, 2026

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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