FDA Adverse Event Death Summary report: N

NAVISTAR® THERMOCOOL®

MDR report key: 4922638 · Received July 17, 2015

Report

Report Number
2029046-2015-00190
Event Type
Death
Date Received
July 17, 2015
Date of Event
December 31, 2012
Report Date
June 25, 2015
Manufacturer
BIOSENSE WEBSTER, INC (IRWINDALE)
Product Code
LPB
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO DEVICE WAS RECEIVED FOR ANALYSIS AT THE TIME OF SUBMISSION OF THE INITIAL 3500A. SINCE THE PRODUCT WAS NOT RETURNED FOR ANALYSIS, NO PRODUCT FAILURE ANALYSIS CAN BE CONDUCTED AND NO DETERMINATION OF POSSIBLE CONTRIBUTING FACTORS COULD BE MADE. DEVICE HISTORY RECORD (DHR) REVIEW CANNOT BE CONDUCTED BECAUSE THE NO LOT NUMBER WAS PROVIDED BY THE CUSTOMER. SINCE THE LOT NUMBER IS UNKNOWN, THE FULL UDI NUMBER CANNOT BE PROVIDED. CONCOMITANT PRODUCTS WERE USED DURING THIS STUDY: CARTO 3 MAPPING SYSTEM. (B)(4). THE DEVICES WERE NOT RETURNED TO BWI.

Description of Event or Problem · 1

THIS COMPLAINT IS FROM A LITERATURE SOURCE. IT WAS REPORTED THAT SEVEN PATIENTS DIED FROM CARDIAC CAUSES DURING THE STUDY PERIOD (SIX DUE TO CARDIAC DECOMPENSATION AND ONE SUDDEN DEATH). ALL PATIENTS UNDERWENT VENTRICULAR TACHYCARDIA (VT) ABLATION PROCEDURE. MULTIPLE ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION, HOWEVER, NO FURTHER INFORMATION HAS BEEN MADE AVAILABLE. THE DATES OF DEATHS (DURING ABLATION PROCEDURE OR FOLLOW-UP) WERE UNKNOWN. BWI TAKES CONSERVATIVE APPROACH TO REPORT THE EVENTS. BASED ON THE FACTS OF THE CASE AND THE AUTHOR¿S ASSESSMENT, THERE WERE NO REPORTED MALFUNCTION WITH ANY OF THE BWI CATHETERS AND SYSTEMS USED DURING THE CASE. THUS, THESE EVENTS ARE UNRELATED TO THE DEVICE AND MOST LIKELY RELATED TO THE PROCEDURE. OTHER ADVERSE EVENTS REPORTED IN THE ARTICLE: - 5 PATIENTS DIED FROM NON-CARDIAC CAUSES (BWI WILL NOT OPEN COMPLAINTS FOR THESE EVENTS AS THEY ARE NOT PROCEDURE RELATED OR DEVICE RELATED). TITLE: ¿ELECTROANATOMICAL VOLTAGE AND MORPHOLOGY CHARACTERISTICS IN POST-INFARCTION PATIENTS UNDERGOING VENTRICULAR TACHYCARDIA ABLATION: A PRAGMATIC APPROACH FAVORING LATE POTENTIALS ABOLITION¿. THE PURPOSE OF THIS STUDY WAS TO ANALYZE THE ENDO-EPICARDIAL ELECTROANATOMICAL MAPPING (EAM) VOLTAGE AND MORPHOLOGY CHARACTERISTICS IN ORDER TO DESCRIBE THE APPROPRIATENESS OF EACH SUBSTRATE ABLATION STRATEGY, THE INTERRELATIONSHIP OF EAM CHARACTERISTICS, THEIR ASSOCIATION WITH CLINICAL DATA AND THEIR PROGNOSTIC VALUE IN A LARGE COHORT OF POST-MI PATIENTS UNDERGOING EAM-BASED CATHETER ABLATION FOR VT. THE STUDY WAS CONDUCTED JANUARY 2010 AND DECEMBER 2012. SUSPECTED DEVICE IS NAVISTAR THERMOCOOL, HOWEVER CATALOG AND LOT NUMBER ARE UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
464677 NAVISTAR® THERMOCOOL® SIMILAR DEVICE NI75TCJH, PMA # P030031 LPB BIOSENSE WEBSTER, INC (IRWINDALE) D-1197-00 UNKNOWN_NAVISTAR THERMO TC

Patients

Seq Age Sex Outcome Treatment
1 70 YR Death