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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL TACTISYS¿ QUARTZ ABLATION SYSTEM; TACTISYS, QUARTZ ABLATION SYSTEM

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ST. JUDE MEDICAL TACTISYS¿ QUARTZ ABLATION SYSTEM; TACTISYS, QUARTZ ABLATION SYSTEM Back to Search Results
Model Number PN-004 400
Device Problem Failure to Power Up (1476)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 12/11/2023
Event Type  malfunction  
Event Description
During a premature ventricular contractions procedure, after mapping was completed, it was noted that the tactisys quartz units did not power on, so the case was stopped because of inability to proceed without contact catheters.
 
Manufacturer Narrative
Additional information confirmed that this event was already reported via manufacturing ref number: 2184149-2023-00247.Corrected information: b5, g3 additional information: d9, g3, h2, h3, h6 one tactisys¿ quartz was received for analysis.Visual inspection revealed the input, output connectors and controls appeared to be free of physical damage.The quartz was powered on and audible beeps were observed.This indicates the quartz successfully booted and communication was established.A known-good catheter was connected, and valid contact force was observed.A fiso diagnostic verified all fiso compact module signals were within specifications.The field reported event was not reproduced as the quartz was left-on for an extended period and no anomaly was observed.Communication and valid contact force were maintained.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed.No non-conformances associated with the reported event were identified.Based on the information provided to abbott and the investigation performed, the root cause of the reported failure to power up and subsequent cancellation could not be conclusively determined as the returned tactisys functioned as anticipated throughout the investigation.
 
Event Description
Additional information confirmed that this event was already reported via manufacturing ref number:(b)(6).
 
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Brand Name
TACTISYS¿ QUARTZ ABLATION SYSTEM
Type of Device
TACTISYS, QUARTZ ABLATION SYSTEM
Manufacturer (Section D)
ST. JUDE MEDICAL
one st. jude medical drive
st. paul MN 55117
Manufacturer (Section G)
ST. JUDE MEDICAL
one st. jude medical drive
st. paul MN 55117
Manufacturer Contact
janna parks
5050 nathan lane north
plymouth, MN 55442
6517565400
MDR Report Key18365349
MDR Text Key331074283
Report Number2184149-2023-00248
Device Sequence Number1
Product Code OAE
UDI-Device Identifier07640157990194
UDI-Public07640157990194
Combination Product (y/n)N
Reporter Country CodeEN
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,Followup
Report Date 02/09/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberPN-004 400
Device Lot Number6979766
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 12/11/2023
Initial Date FDA Received12/20/2023
Supplement Dates Manufacturer Received02/09/2024
Supplement Dates FDA Received02/09/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured05/06/2019
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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