FDA Adverse Event Injury Summary report: N

VERSACROSS CONNECT LAAC ACCESS SOLUTION

MDR report key: 25132170 · Received May 9, 2026

Report

Report Number
2124215-2026-25231
Event Type
Injury
Date Received
May 9, 2026
Date of Event
April 17, 2026
Report Date
May 9, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OFK
UDI-DI
00685447019473
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT EXPERIENCED A PERICARDIAL EFFUSION, CARDIAC TAMPONADE AND PERFORATION. SURGICAL INTERVENTION WAS REQUIRED. IT WAS REPORTED THAT DURING A NON-VALVULAR AFIB/FALLS PROCEDURE A VERSACROSS RF WIRE WAS SELECTED FOR USE. DURING PROCEDURE, TRIVIAL EFFUSION NOTED PRE PROCEDURE. IT WAS ATTEMPTED TO CROSS THE ATRIAL SEPTUM WITH VERSACROSS CONNECT LAAC ACCESS SOLUTION, HOWEVER, IT WAS UNSUCCESSFUL. NRG USED TO CROSS ATRIAL SEPTUM SUCCESSFULLY. PERICARDIAL EFFUSION CHECK PERFORMED, INSIGNIFICANT PER MD AND PROCEEDED WITH CASE. TRUSTEER SHEATH AND PIGTAIL WERE INTRODUCED IN THE PATIENT. ICE REP ALERTED MD OF THE PROGRESSION OF THE EFFUSION. MD ASSESSED IT AS A SMALL EFFUSION AND PROCEEDED WITH CASE. POST LAA ANGIOGRAM, AN EFFUSION BECOMING LARGER WAS NOTICED SO THE MD WAS ALERTED. MD AGREED AND PROCEDURE WAS STOPPED AT THIS POINT. TRUSTEER SHEATH AND PIGTAIL WERE RETRACTED TO RIGHT SIDE OF HEART. ANESTHESIA ALERTED MD THAT PATIENT WAS HEMODYNAMICALLY UNSTABLE, BP 69/54. PHYSICIANS (EP & IC) DECIDED TO PERFORM PERICARDIOCENTESIS FOR CARDIAC TAMPONADE. PERICARDIOCENTESIS PERFORMED SUCCESSFULLY AND PATIENT INTUBATED IN CASE PATIENT NEEDED TO GO TO CV OR. THE PATIENT WAS TRANSFERRED TO THE EP LAB IN STABLE CONDITION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
4871 VERSACROSS CONNECT LAAC ACCESS SOLUTION PERCUTANEOUS ATRIAL CATHETER KIT OFK BOSTON SCIENTIFIC CORPORATION VXAK0103 0038308562 00685447019473

Patients

Seq Age Sex Outcome Treatment
1