FDA Adverse Event Injury Summary report: N

UNK_CELSIUS THERMOCOOL

MDR report key: 8359136 · Received February 21, 2019

Report

Report Number
2029046-2019-02716
Event Type
Injury
Date Received
February 21, 2019
Date of Event
December 31, 2017
Report Date
January 29, 2019
Manufacturer
BIOSENSE WEBSTER INC
Product Code
LPB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
PHYSICIAN

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 LOT NUMBER WAS PROVIDED BY THE CUSTOMER. CONCOMITANT PRODUCTS THAT USED IN THIS STUDY: CARTO, LASSO. NON-BIOSENSE WEBSTER DEVICES THAT WERE ALSO USED IN THIS STUDY: ENSITE, COOLPATH DUO (ST. JUDE). MANUFACTURER'S REF. (B)(4). BIOSENSE WEBSTER MANUFACTURER'S REPORT NUMBERS: 2029046-2019-02717 ARE RELATED TO THE SAME INCIDENT.

Description of Event or Problem · 1

THIS COMPLAINT IS FROM A LITERATURE SOURCE. THE FOLLOWING COMPLICATIONS WERE REPORTED IN THIS PUBLICATION: 1 PATIENT UNDERWENT INDEX CATHETER ABLATION OF ATRIAL FIBRILLATION AND SUFFERED PSEUDOANEURYSM. NO FURTHER DETAILS WERE PROVIDED. MULTIPLE REQUESTS FOR CLARIFICATION HAVE BEEN SENT TO THE CORRESPONDING AUTHOR, BUT NO ADDITIONAL DETAILS WERE PROVIDED AT THIS TIME. IF ADDITIONAL DETAILS WILL BE PROVIDED THIS REPORT WILL BE UPDATED ACCORDINGLY. THERE ARE 0 DEATH EVENTS AND 0 DEVICE MALFUNCTIONS REPORTED IN THIS PUBLICATION. MODEL AND CATALOG NUMBER ARE NOT AVAILABLE, BUT THE SUSPECTED DEVICE IS THERMOCOOL AND THERMOCOOL SMARTTOUCH. OTHER BIOSENSE WEBSTER DEVICES THAT WERE ALSO USED IN THIS STUDY: CARTO, LASSO. NON-BIOSENSE WEBSTER DEVICES THAT WERE ALSO USED IN THIS STUDY: ENSITE, COOLPATH DUO (ST. JUDE). PUBLICATION DETAILS: TITLE: IMPACT OF LEFT ATRIAL BOX SURFACE RATIO ON THE RECURRENCE AFTER ABLATION FOR PERSISTENT ATRIAL FIBRILLATION. OBJECTIVE: TO EVALUATE THE INFLUENCE OF BOX LESION SURFACE AREA AS A RATIO OF TOTAL LA SURFACE AREA (BOX SURFACE RATIO) ON ARRHYTHMIA RECURRENCE. METHODS: BETWEEN 2013 AND 2017, 70 CONSECUTIVE PATIENTS WITH PERSISTENT AF (63±11 YEARS, 53 MEN) UNDERGOING COMPUTED TOMOGRAPHY (CT) IMAGING AND ABLATION PROCEDURE CONSISTING OF A FIRST BOX LESION WERE INCLUDED IN THIS STUDY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
150174 UNK_CELSIUS THERMOCOOL DRF LPB BIOSENSE WEBSTER INC

Patients

Seq Age Sex Outcome Treatment
1 63 YR Required Intervention