MEDTRONIC MEXICO S. DE R.L. DE CV ACHIEVE MAPPING CATHETER - 20 MM; CATHETER, ELECTRODE RECORDING, OR PROBE, ELECT
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Model Number 990063-020 |
Device Problem
Mechanical Problem (1384)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 11/06/2023 |
Event Type
malfunction
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Event Description
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It was reported that during a cryo ablation procedure, after completing the ablation of the left pulmonary veins, the sheath was rotated inside of the balloon catheter and the mapping catheter extended in the left atrium.The balloon catheter and sheath were then advanced over the mapping catheter but was met with friction when moving the mapping catheter. on the third try, a system notice was received indicating that the safety system detected fluid in the catheter and stopped the injection.The balloon and mapping catheter were removed.There were multiple scratches and signs of damage on the mapping catheter.The mapping catheter was replaced.It was then reported blood was seen in the balloon of the balloon catheter.The balloon catheter and coaxial umbilical cable were replaced which resolved the system notice. the case was completed with cryo. no patient complications have been reported as a result of this event.
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Manufacturer Narrative
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Continuation of d10: product id 203cx (lot: 226786801); product type: 0627-cables and accessories; product id 2035u (lot: 0011817632); product type: 0627-cables and accessories; product id afapro28 (20029); product type: 0624-arctic front catheter; product id 106e2 (5k1509); product type: 0628-console; spare parts; medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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