FDA Adverse Event Injury Summary report: N

WEBSTER? ELECTROPHYSIOLOGY CATHETER

MDR report key: 4764166 · Received May 11, 2015

Report

Report Number
2029046-2015-00134
Event Type
Injury
Date Received
May 11, 2015
Date of Event
June 1, 2011
Report Date
April 22, 2015
Manufacturer
BIOSENSE WEBSTER, INC (IRWINDALE)
Product Code
LPB
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SN
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS DISCARDED, THEREFORE NO PRODUCT FAILURE ANALYSIS CAN BE CONDUCTED AND DEVICE MALFUNCTION CANNOT BE CONFIRMED. SINCE NO LOT NUMBER WAS PROVIDED, NO DEVICE HISTORY RECORD (DHR) REVIEW COULD BE PERFORMED. CONCOMITANT PRODUCTS: A NONCONTACT MAPPING SYSTEM ((B)(4)) (CARDIODRIVE, STEREOTAXIS) 4-MM-TIP ABLATION CATHETER (8FR HELIOS II, STEREOTAXIS) (B)(6).(B)(4).

Description of Event or Problem · 1

THIS COMPLAINT IS FROM LITERATURE SOURCE. 4 PATIENTS IN MANUAL CATHETER CONTROL (MCC) GROUP DURING THE PROCEDURE, HAD MECHANICALLY INDUCED RIGHT BUNDLE BRANCH BLOCK (RBBB). TITLE: MAGNETIC VERSUS MANUAL CATHETER NAVIGATION FOR MAPPING AND ABLATION OF RIGHT VENTRICULAR OUTFLOW TRACT VENTRICULAR ARRHYTHMIAS: A RANDOMIZED CONTROLLED STUDY OBJECTIVES: THE PURPOSE OF THIS STUDY WAS TO PROSPECTIVELY EVALUATE THE EFFICACY AND SAFETY OF USING EITHER REMOTE MAGNETIC CONTROL (RMC) VS MCC FOR MAPPING AND ABLATION OF RVOT VPC/VT. BETWEEN JULY 2010 AND JUNE 2011, 30 CONSECUTIVE PATIENTS, MALE; MEAN AGE 44 WITH IDIOPATHIC VT OR VPC WERE RANDOMIZED IN 1:1 RATIO AND UNDERWENT ABLATION. IN SUBJECTS RANDOMIZED TO THE MCC GROUP, A 7FR QUADRIPOLAR CATHETER WITH 4-MM DISTAL ELECTRODE (CELSIUS, BIOSENSE WEBSTER, DIAMOND BAR, CA) WAS USED FOR MAPPING AND ABLATION. MODEL AND CATALOG NUMBER ARE NOT AVAILABLE. IN SUBJECTS RANDOMIZED TO THE RMC GROUP, THE 4-MM-TIP ABLATION CATHETER (8FR HELIOS II, STEREOTAXIS) MNS (STEREOTAXIS INC, ST. LOUIS, MO) WAS USED IN PATIENTS. -1 PATIENT RMC GROUP DURING THE PROCEDURE, HAD MECHANICALLY INDUCED RIGHT BUNDLE BRANCH BLOCK (RBBB) -4 PATIENTS MCC GROUP DURING THE PROCEDURE, HAD MECHANICALLY INDUCED RIGHT BUNDLE BRANCH BLOCK (RBBB) OCCURRED ALL NORMALIZED DURING THE FIRST 6 MONTHS OF FOLLOW-UP. NO SEVERE COMPLICATIONS, SUCH AS CARDIAC PERFORATION, OCCURRED IN EITHER GROUP. THERE ARE NO DEATH EVENTS AND/OR DEVICE MALFUNCTIONS REPORTED IN THE PUBLICATION. OTHER BWI PRODUCTS REPORTED IN THE ARTICLE: A NONCONTACT MAPPING SYSTEM ((B)(4)) (CARDIODRIVE, STEREOTAXIS); THE 4-MM-TIP ABLATION CATHETER (8FR HELIOS II, STEREOTAXIS) MULTIPLE ATTEMPTS HAVE BEEN MADE TO OBTAIN CLARIFICATION TO THIS COMPLAINT. HOWEVER, NO FURTHER INFORMATION HAS BEEN MADE AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
306514 WEBSTER? ELECTROPHYSIOLOGY CATHETER SIMILAR DEVICE 112547S, PMA # P950005 LPB BIOSENSE WEBSTER, INC (IRWINDALE) CELSIUS TC UNKNOWN_CELSIUS TC

Patients

Seq Age Sex Outcome Treatment
1 44 YR Life Threatening