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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FIBRILLATION

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MEDTRONIC CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FIBRILLATION Back to Search Results
Model Number MEDTRONIC CRYO
Device Problem Connection Problem (2900)
Patient Problem Insufficient Information (4580)
Event Type  malfunction  
Event Description
During a pulse field ablation procedure to treat atrial fibrillation (afib), a farastar ablation generator was selected for use.It was reported that the stim connector had been pushed inside the console.They were unable to connect the cable without opening the console and retrieving the connector.Procedure was completed using a non bsc product (medtronic cryo).No patient complications reported.Unknown if product is going to be returned.(b)(4).This report reflects information received by fda in the form of a notification per 803.22 (b)(2).
 
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Brand Name
CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FIBRILLATION
Type of Device
CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FIBRILLATION
Manufacturer (Section D)
MEDTRONIC
MDR Report Key17489893
MDR Text Key320695468
Report NumberMW5122411
Device Sequence Number1
Product Code OAE
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Other
Type of Report Initial
Report Date 03/31/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/09/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? No
Device Model NumberMEDTRONIC CRYO
Patient Sequence Number1
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