FDA Adverse Event Injury Summary report: N

SOLOGRIP III HANDPIECE

MDR report key: 3701202 · Received March 26, 2014

Report

Report Number
2950727-2014-00005
Event Type
Injury
Date Received
March 26, 2014
Date of Event
December 6, 2013
Report Date
March 21, 2014
Manufacturer
CARDIOGENESIS CORPORATION
Product Code
MNO
PMA / PMN Number
P970029
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THIS INVESTIGATION IS CURRENTLY ONGOING. ANY ADDITIONAL INFORMATION WILL BE PROVIDED IN THE FOLLOW-UP REPORT.

Additional Manufacturer Narrative · 1

THE PATIENT EXPERIENCED VENTRICULAR ARRHYTHMIA ON DAY 2 AND ATRIAL FIBRILLATION ON DAY 4 FOLLOWING THE CABG+TMR PROCEDURE. THE PATIENT WAS ANGINA-FREE AT 30 DAYS. ACCORDING TO DOCUMENTATION, ALL AVAILABLE RECORDS SHE THE HANDPIECE WAS CORRECTLY ASSEMBLED FROM APPROVED COMPONENTS AND WERE INSPECTED TO SPECIFICATIONS. ATRIAL FIBRILLATION IS A COMMON EARLY ADVERSE EVENT AFTER CORONARY ARTERY BYPASS GRAFT PROCEDURES WITH OUR WITHOUT ADJUNCTIVE TMR. IN ADDITION, TRANSIENT DYSRHYTHMIA, BOTH VENTRICULAR AND SUPRAVENTRICULAR, ARE KNOWN TO OCCUR FOLLOWING A TMR PROCEDURE. ADEQUATE PRECAUTIONS AND WARNINGS ARE PRESENT IN THE PRODUCTS INSTRUCTIONS FOR USE.

Description of Event or Problem · 1

THE PATIENT EXPERIENCED VENTRICULAR ARRHYTHMIA ON DAY 2 AND ATRIAL FIBRILLATION ON DAY 4 FOLLOWING THE CABG+TMR PROCEDURE.

Description of Event or Problem · 1

THE PATIENT EXPERIENCED VENTRICULAR ARRHYTHMIA ON DAY 2 AND ATRIAL FIBRILLATION ON DAY 4 FOLLOWING THE CABG+TMR PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
178003 SOLOGRIP III HANDPIECE TRANSMYOCARDIAL REVASCULARIZATION LASER HANDPIECE MNO CARDIOGENESIS CORPORATION HP-SG3

Patients

Seq Age Sex Outcome Treatment
1 79 YR Other