BIOSENSE WEBSTER INC LASSOSTAR NAV CIRCULAR MAPPING CATHETER; CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING
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Catalog Number D140402 |
Device Problem
Material Separation (1562)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 01/01/2023 |
Event Type
malfunction
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Event Description
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It was reported that a patient underwent a cardiac ablation procedure with a lassostar nav circular mapping catheter and a ripped catheter issue occurred.During insertion of the lassostar into the y-connector, the lassostar got stuck after about 3cm.When pulling the lassostar out, it ripped.A new y-connector and a new lassostar we¿re needed.The surgery was delayed by five minutes.Additional information was received on 03-aug-2023.It ripped while trying to introduce into the heliostar.There was visible damage on the shaft of the catheter.There is no picture available.There was no patient consequence.
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Manufacturer Narrative
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B3.Date of event: the event date is unknown.As a result, the 1st day of the year has been entered as the event date.If additional information is received regarding this event, a supplemental 3500a report will be submitted to the fda.This report is being submitted pursuant to the provisions of 21 cfr, part 803.This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by biosense webster, inc., or its employees that the report constitutes an admission that the product, biosense webster, inc., or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.Manufacturer's reference number: (b)(4).
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Manufacturer Narrative
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Initially, it was reported that a patient underwent a cardiac ablation procedure with a lassostar nav circular mapping catheter and a ripped catheter issue occurred.During insertion of the lassostar into the y-connector, the lassostar got stuck after about 3cm.When pulling the lassostar out, it ripped.A new y-connector and a new lassostar we¿re needed.The surgery was delayed by five minutes.The ripped catheter issue remains assessed as mdr reportable.The additional finding of the broken shaft was also assessed as mdr reportable.The awareness date is 23-oct-2023.Device evaluation details: the device was returned to biosense webster (bwi) for evaluation on 17-oct-2023.A visual inspection was performed following bwi procedures.Visual analysis revealed that the catheter shaft was observed broken, leaving internal components exposed.The damage observed could have been caused during removal of the catheter after the procedure, or the manipulation of the catheter during the procedure; however, this cannot be conclusively determined.A manufacturing record evaluation was performed for the finished device number lot 30954747l and no internal actions related to the complaint were found during the review.The issue reported by the customer was confirmed.It should be noted that product failure is multifactorial.As part of biosense webster's quality process, all devices are manufactured, inspected, and released to approved specifications.This product issue will be addressed through bwi's quality system.If additional information is received regarding this event, a supplemental 3500a report will be submitted to the fda.Manufacturer's reference number: (b)(4).
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Search Alerts/Recalls
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