FDA Adverse Event Malfunction Summary report: N

INQUIRY OPTIMA STEERABLE DIAGNOSTIC CATHETER

MDR report key: 765739 · Received November 4, 2005

Report

Report Number
2030404-2005-00003
Event Type
Malfunction
Date Received
November 4, 2005
Date of Event
October 6, 2005
Report Date
November 4, 2005
Manufacturer
IRVINE BIOMEDICAL INC. (IBI)
Product Code
DRF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE ROOT CAUSE FOR THE PROTRUSION OF THE NITINOL WIRE OUT FROM THE CATHETER BODY WAS DUE TO USER NOT FOLLOWING THE INSTRUCTIONS FOR USE (IFU) AND INCORRECTLY REMOVING THE CATHETER FROM THE INTRODUCER SHEATH WHILE THE CATHETER DISTAL LOOP WAS STILL IN A CLOSED (IE. UNRELAXED) POSITION. THIS PROCEDURE CONFLICTS WITH THE IFU WHICH STATES: "TO REMOVE THE CATHETER FROM INTRODUCER SHEATH, MAKE SURE TO TURN THE ROTATING KNOB COUNTER CLOCKWIRE FULLY AND PULL THE THUMB CONTROL DOWNWARD COMPLETELY TO MAKE THE LOOP LARGER AND STRAIGHTEN SHAFT OF CATHETER BEFORE REMOVAL FROM INTRODUCER."

Description of Event or Problem · 1

THE PHYSCIAN REPORTED THAT THERE WAS DIFFICULTY MOVING THE INQUIRY OPTIMA CATHETER AROUND THROUGHOUT THE CASE. WHEN THE CATHETER WAS REMOVED AT THE END OF THE PROCEDURE, A WIRE WAS SEEN PROTRUDING JUST BLOW THE BAND ELECTRODES. NO PT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INQUIRY OPTIMA STEERABLE DIAGNOSTIC CATHETER ELECTROPHYSIOLOGY CATHETER DRF IRVINE BIOMEDICAL INC. (IBI) 81683 36016

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN