FDA Adverse Event Injury Summary report: N

UNK_SMART TOUCH BIDIRECTIONAL

MDR report key: 9955798 · Received April 13, 2020

Report

Report Number
2029046-2020-00544
Event Type
Injury
Date Received
April 13, 2020
Date of Event
December 31, 2018
Report Date
March 25, 2020
Manufacturer
BIOSENSE WEBSTER INC
Product Code
OAD
PMA / PMN Number
UNK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). 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 NO LOT NUMBER WAS PROVIDED BY THE CUSTOMER. MISSING INFORMATION FROM THIS REPORT IS IDENTIFIED AS BLANK; THIS INFORMATION WAS NOT PROVIDED IN THE REPORTED EVENT OR AVAILABLE AT THE TIME OF REPORT SUBMISSION. INFORMATION REGARDING PATIENT WEIGHT, HEIGHT, MEDICAL HISTORY, RACE, AND ETHNICITY WAS NOT REPORTED.

Description of Event or Problem · 1

THIS COMPLAINT IS FROM A LITERATURE SOURCE. AS REPORTED IN THE LITERATURE PUBLICATION ENTITLED, ¿ULTRA¿HIGH DENSITY MAPPING OF CONDUCTION GAPS AND ATRIAL TACHYCARDIAS: DISTINCTIVE PATTERNS FOLLOWING PULMONARY VEIN ISOLATION WITH CRYOBALLOON OR CONTACT¿FORCE-GUIDED RADIOFREQUENCY CURRENT¿. A PATIENT WITH RECURRENCE OF ATRIAL FIBRILLATION WHO UNDERWENT RADIOFREQUENCY CURRENT (RFC) PULMONARY VEIN ISOLATION (PVI) EXPERIENCED PERICARDIAL TAMPONADE IN THE CF-RFC GROUP, THE PATIENT REQUIRED IMMEDIATE PERICARDIOCENTESIS. THE PATIENT WAS DISCHARGED FROM THE HOSPITAL, 3 DAYS LATER, IN GOOD MEDICAL CONDITION. THE AIM OF THIS STUDY WAS TO INVESTIGATE ELECTROPHYSIOLOGICAL FINDINGS IN PATIENTS WITH ARRHYTHMIA RECURRENCE UNDERGOING A REPEAT ABLATION PROCEDURE USING ULTRA¿HIGH-DENSITY (UHDX) MAPPING FOLLOWING AN INDEX PROCEDURE USING EITHER CONTACT¿FORCE (CF)-GUIDED RADIOFREQUENCY CURRENT (RFC) PULMONARY VEIN ISOLATION (PVI) OR SECOND-GENERATION CRYOBALLOON (CB) PVI FOR TREATMENT OF ATRIAL FIBRILLATION (AF). METHODS: BETWEEN NOVEMBER 2017 AND DECEMBER 2018, FIFTY CONSECUTIVE PATIENTS WITH RECURRENCE OF AF AND/OR ATRIAL TACHYCARDIA (AT) FOLLOWING INDEX CF-RFC PVI (N = 21) OR CB PVI (N = 29) WERE INCLUDED IN THIS STUDY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
419113 UNK_SMART TOUCH BIDIRECTIONAL CARDIAC ABLATION PERCUTANEOUS CATHETER OAD BIOSENSE WEBSTER INC

Patients

Seq Age Sex Outcome Treatment
1 67 YR Required Intervention