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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: VENUSA DE MEXICO S.A. DE C.V. TACTICATH¿ QUARTZ CONTACT FORCE ABLATION CATHETER, 75MM; Catheter, percutaneous, cardiac ablation, for treatment of atrial fibrillation

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VENUSA DE MEXICO S.A. DE C.V. TACTICATH¿ QUARTZ CONTACT FORCE ABLATION CATHETER, 75MM; Catheter, percutaneous, cardiac ablation, for treatment of atrial fibrillation Back to Search Results
Model Number PN-004 075
Device Problem Fluid/Blood Leak (1250)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 04/14/2023
Event Type  malfunction  
Event Description
This report is to advise of a fluid leak that was noted during analysis.
 
Manufacturer Narrative
One 75 mm tacticath quartz contact force ablation catheter was received for evaluation.One video was returned to product performance engineering.The video appears to show fluid leaking from the distal end of the handle.The device did not meet specifications during a shaft leak test and an irrigation leak test.Further investigation revealed a leak at the irrigation tubing within the handle, consistent with the failed shaft and irrigation leak tests, fluid ingress, and the reported event.The cause of the detected irrigation tubing leak remains unknown.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed.
 
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Brand Name
TACTICATH¿ QUARTZ CONTACT FORCE ABLATION CATHETER, 75MM
Type of Device
Catheter, percutaneous, cardiac ablation, for treatment of atrial fibrillation
Manufacturer (Section D)
VENUSA DE MEXICO S.A. DE C.V.
calle hertz 1525-6
parque industrial j. bermudez
ciudad juarez, chihuahua 32470
MX  32470
Manufacturer (Section G)
VENUSA DE MEXICO S.A. DE C.V.
calle hertz 1525-6
parque industrial j. bermudez
ciudad juarez, chihuahua 32470
MX   32470
Manufacturer Contact
janna parks
5050 nathan lane north
plymouth, MN 55442
6517565400
MDR Report Key17497663
MDR Text Key320767106
Report Number9680001-2023-00023
Device Sequence Number1
Product Code OAE
UDI-Device Identifier07640157990040
UDI-Public07640157990040
Combination Product (y/n)N
Reporter Country CodeCH
PMA/PMN Number
P130026
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial
Report Date 08/10/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/10/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date07/25/2023
Device Model NumberPN-004 075
Device Lot Number8014111
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/04/2023
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received08/01/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured09/07/2021
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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