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Model Number D-1286-03-S |
Device Problem
Over-Sensing (1438)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 04/12/2017 |
Event Type
malfunction
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Manufacturer Narrative
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We are working on the device history record (dhr) review.Once we get more information, it will be submitted in a supplemental.Manufacturer's ref.No:(b)(4).Biosense webster manufacturer's ref.No.'s:(b)(4).
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Event Description
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It was reported that a patient underwent an ablation procedure with a c3 interface cable where noise was experienced on all electrocardiogram (ecg) leads.During the procedure, interference was observed on all ecg leads, both body surface and intracardiac, for both the carto 3 and recording systems.No other ecgs were available to monitor the patient¿s heart rhythm.The catheter and catheter cable were both replaced, and the issue was resolved.No patient consequences were reported.The inability to monitor the patient¿s heart rhythm while devices are intracardiac can lead to undetected rhythms that could be life threatening.As a result, this event is mdr reportable.
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Manufacturer Narrative
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On 6/2/2017, biosense webster became aware that the lot number provided in the initial complaint file was not valid.Follow up attempts were made to retrieve the correct lot number, but it was not made available.Since the product was not returned for analysis, no product failure analysis can be conducted and no determination of possible contributing factors could be made.As such, the investigation will be closed.If the complaint device is received in the future, we will reopen the complaint and perform the investigation as appropriate.Since no lot number was provided, no device history record (dhr) review could be performed.(b)(4).
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Manufacturer Narrative
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On 7/6/2017, the bwi failure analysis lab received the device for evaluation.The analysis has begun but is not completed at this time.When the investigational analysis has been completed, a supplemental 3500a report will be submitted.(b)(4).
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Manufacturer Narrative
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During product analysis, the lot number of the cable was determined to be 112370.Manufacturer¿s reference number: (b)(4) it was reported that a patient underwent an ablation procedure with a c3 interface cable where noise was experienced on all electrocardiogram (ecg) leads.Upon receipt, the product was visually inspected, and was found in normal condition.A carto 3 system test was performed, and the product passed all specification.No errors were found, and the cable was found to be working properly.The device history record (dhr) was reviewed, and no anomalies were found related to this complaint.In addition, the dhr review verifies that the device was manufactured in accordance with documented specification and procedures.The customer complaint could not be confirmed.
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Search Alerts/Recalls
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