FDA Adverse Event Injury Summary report: N

MEDTRONIC ACHIEVE 990063-020 MAPPING CATHETER

MDR report key: 25072725 · Received May 4, 2026

Report

Report Number
MW5187622
Event Type
Injury
Date Received
May 4, 2026
Date of Event
April 13, 2026
Report Date
April 29, 2026
Manufacturer
MEDTRONIC, INC.
Product Code
DRF
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MI, US
Reporter Occupation
501
Health Professional
Yes

Narratives

Description of Event or Problem · 0

PATIENT UNDERWENT CRYO-ABLATION PROCEDURE. WHEN RETRACTING THE ACHIEVE LOOP CATHETER AND CRYOCATH BALLOON INTO THE FLEXCATH STEERABLE SHEATH POST PROCEDURE, IT WAS REPORTED THAT THERE WAS A LITTLE RESISTANCE. UPON INSPECTION THE ACHIEVE MAPPING CATHETER TIP WAS STRETCHED AND ELECTRODES WERE MISSING. WE PULLED ~70ML BLOOD AND NEGATIVE ON THE FLEXCATH WHEN REMOVING. WE DID FIND 7 OF THE 8 ELECTRODES WITHIN THE CATHETER AND REMOVED BLOOD. THE TIP OF THE MAPPING CATHETER WAS STRETCHED AND WIRE BROKEN INTERNALLY. IT IS UNKNOWN IF THE ENTIRETY OF THE CATHETER WAS SUCCESSFULLY REMOVED OR IF AN ELECTRODE AND TIP WERE LOST.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
431158 MEDTRONIC ACHIEVE 990063-020 MAPPING CATHETER CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING DRF MEDTRONIC, INC. 990063-020 230693091

Patients

Seq Age Sex Outcome Treatment
1 76 YR Female Required Intervention