VARIPULSE¿ BI-DIRECTIONAL CATHETER
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
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).
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 |