FDA Adverse Event Injury Summary report: N

ACUSON ACUNAV 10F ULTRASOUND CATHETER

MDR report key: 7075328 · Received December 1, 2017

Report

Report Number
3009498591-2017-00508
Event Type
Injury
Date Received
December 1, 2017
Date of Event
March 1, 2016
Report Date
December 1, 2017
Manufacturer
SIEMENS MEDICAL SOLUTIONS USA, INC.
Product Code
OBJ
PMA / PMN Number
K071234
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE REFERENCED IN THIS REPORT WAS NOT RETURNED TO SIEMENS FOR EVALUATION; THEREFORE, A PHYSICAL INVESTIGATION OF THE DEVICE COULD NOT BE PERFORMED. (B)(4).

Description of Event or Problem · 1

SIEMENS MEDICAL SOLUTIONS USA, INC. FOUND AN ARTICLE PUBLISHED IN HEART RHYTHM. 2016 JUN TITLED: "IS TRANSESOPHAGEAL ECHOCARDIOGRAM MANDATORY IN PATIENTS UNDERGOING ABLATION OF ATRIAL FIBRILLATION WITH UNINTERRUPTED NOVEL ORAL ANTICOAGULANTS? RESULTS FROM A PROSPECTIVE MULTICENTER REGISTRY." IN THE ARTICLE, IT WAS REPORTED THAT A PATIENT HAD A STROKE AFTER USING AN ACUNAV CATHETER DURING AN ATRIAL FIBRILLATION (AFIB) ABLATION PROCEDURE. ATTEMPTS WERE MADE VIA EMAIL TO OBTAIN ADDITIONAL INFORMATION REGARDING THE REPORTED PHENOMENON AND PATIENT OUTCOME BUT WITH NO RESULTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
855619 ACUSON ACUNAV 10F ULTRASOUND CATHETER ULTRASOUND DEVICE OBJ SIEMENS MEDICAL SOLUTIONS USA, INC. ACUNAV 10F UNK

Patients

Seq Age Sex Outcome Treatment
1 70 YR Life Threatening 3.5MM THERMOCOOL IRRIGATING TIP CATHETER| HEPARIN| LASSO CIRCULAR MAPPING CATHETER