FDA Adverse Event Injury Summary report: N

VARIPULSE¿ BI-DIRECTIONAL CATHETER

MDR report key: 25248194 · Received May 21, 2026

Report

Report Number
2029046-2026-01645
Event Type
Injury
Date Received
May 21, 2026
Date of Event
April 21, 2026
Report Date
May 21, 2026
Manufacturer
BIOSENSE WEBSTER INC
Product Code
QZI
PMA / PMN Number
P240006
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

D4: UDI: AS THE LOT NUMBER FOR THE DEVICE INVOLVED IN THE EVENT WAS NOT PROVIDED, THE FULL UDI IS CURRENTLY NOT AVAILABLE. 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 VARIPULSE¿ BI-DIRECTIONAL CATHETER APPROVED UNDER P240006. 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).

Description of Event or Problem · 0

DURING A BWI-SPONSORED CLINICAL STUDY, IT WAS REPORTED THAT A PATIENT UNDERWENT A CARDIAC ABLATION PROCEDURE AND EXPERIENCED EDEMA VOLUME OVERLOAD. RELATIONSHIP TO STUDY DEVICE IS NOT RELATED AND RELATIONSHIP TO THE INDEX STUDY PROCEDURE IS CAUSAL. THE ADVERSE EVENT IS EXPECTED/ANTICIPATED. THE OUTCOME WAS THAT THE PATIENT'S CONDITION RECOVERED/RESOLVED WITH AN END DATE OF (B)(6) 2026. INTERVENTION WAS MEDICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
564442 VARIPULSE¿ BI-DIRECTIONAL CATHETER PERCUTANEOUS CARDIAC ABL CATH FOR TREATMT OF AFIB W IRREVERSIBLE ELECTROPORATION QZI BIOSENSE WEBSTER INC

Patients

Seq Age Sex Outcome Treatment
1