FDA Adverse Event Other Summary report: N

NAVISTAR DS EP CATHETER

MDR report key: 651352 · Received November 11, 2005

Report

Report Number
651352
Event Type
Other
Date Received
November 11, 2005
Date of Event
September 7, 2005
Report Date
November 11, 2005
Manufacturer
BIOSENSE WEBSTER
Product Code
LPB
Product Problem
Yes
Report Source
User Facility report
Reporter Location
MI, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

WHILE THE CATHETER WAS IN THE LEFT ATRIUM OF THE PATIENT'S HEART, AN ERROR MESSAGE WAS SHOWN THAT THE CATHETER HAD A TEMPERATURE LIMITER ISSUE. TROUBLE SHOOTING WAS PERFORMED AND THIS COULD NOT BE CORRECTED. NO HARM CAME TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NAVISTAR DS EP CATHETER ABLATION CATHETER LPB BIOSENSE WEBSTER 13042516 *
2 NAVISTARDS EP CATHETER ABLATION CATHETER LPB BIOSENSE WEBSTER 13042516 *

Patients

Seq Age Sex Outcome Treatment
1 *