FDA Adverse Event Injury Summary report: N

BIOSENSE WEBSTER NAVISTAR RMT

MDR report key: 916866 · Received September 21, 2007

Report

Report Number
2029046-2007-00112
Event Type
Injury
Date Received
September 21, 2007
Date of Event
August 21, 2007
Report Date
September 21, 2007
Manufacturer
BIOSENSE WEBSTER, INC.
Product Code
DRF
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
NO INFORMATION

Narratives

Additional Manufacturer Narrative · 1

THE SECTION ON PRECAUTIONS DURING CATHETER USE IN THE INSTRUCTION FOR USE STATES "DO NOT USE EXCESSIVE FORCE TO ADVANCE OR WITHDRAW THE CATHETER. CAREFUL CATHETER MANIPULATION MUST BE PERFORMED IN ORDER TO AVOID CARDIAC DAMAGE, PERFORATION, OR TAMPONADE."

Description of Event or Problem · 1

THE CUSTOMER STATED THAT AFTER PERFORMING 18 RF APPLICATIONS REMOTELY, THE PHYSICIAN DECIDED TO TAKE OVER CATHETER CONTROL OF THE STEREOTAXIS SYSTEM TO COMPLETE THE PROCEDURE OF ATRIAL FIBRILLATION. IT WAS REPORTED THAT AFTER DELIVERING 2 MORE RF APPLICATIONS, IT WAS NOTED THAT THE PATIENT'S BLOOD PRESSURE DECREASED AFTER WHICH PATIENT WAS TRANSFERRED TO THE OPERATING ROOM FOR REPAIR OF CARDIAC PERFORATION. IT WAS FOUND THAT A PERFORATION WAS CAUSED OWING TO RF APPLICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BIOSENSE WEBSTER NAVISTAR RMT ELECTROPHYSIOLOGY CATHETER DRF BIOSENSE WEBSTER, INC. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 NI YR Required Intervention