This case was received from an competitor's company and while attempting to catheterize the ligament of marshall¿s (lom) after an af ablation procedure, a perforation of the coronary sinus occurred with the guide.An echography revealed the perforation and a pericardiocentesis was performed to stabilize the patient.There were no abbott catheters in the heart, the af procedure was finished.A 4f infiniti catheter contributed to the event.
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This case was received from a competitor's company.While attempting to catheterize the ligament of marshall¿s (lom) after an af ablation procedure, a perforation of the coronary sinus occurred with the guide.An echography revealed the perforation and a pericardiocentesis was performed to stabilize the patient.There were no competitor's catheters in the heart, the af procedure was finished.A 4f infiniti catheter contributed to the event.The product was not returned for analysis and a product history record (phr) review could not be performed because the lot number for this product is unknown.Without the return of the device or images for analysis, the reported event ¿perforation¿ could not be confirmed.Procedural/handling factors such as vessel characteristics and excessive catheter manipulation may have contributed to the reported event.Users are trained to inspect for signs of damage prior to and during use.Any product with damage is not to be used.Information for safety is provided in the products labeling with the intent to make the user aware of the risks.According to the instructions for use (ifu), although not intended as a mitigation of risk, ¿do not use open or damaged packages.To prevent damage to the catheter tip during removal from the package, grasp the hub and gently withdraw the catheter.Treat all 4f catheters and smaller french sizes with ultimate care.The performance of these products may be impaired if not properly and cautiously handled during unpacking and preparation.Procedures requiring percutaneous catheter introduction should not be attempted by physicians unfamiliar with the possible complications.Complications may occur at any time during or after the procedure.Possible complications include but are not limited to the following: air embolism, hematoma at the puncture site, infection, and perforation of the vessel wall.¿ based on the information available, there is no indication that the event is related to the device design or manufacturing process.Therefore, no preventative or corrective actions will be taken at this time.
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