MAUDE Adverse Event Report: STERILMED, INC. VIEWFLEX XTRA ICE CATHETER; DIAGNOSTIC INTRAVASCULAR CATHETER

Catalog Number	RD087031
Medical Device Problem Code	Break (1069)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	01/10/2024
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Since no device has been received for analysis, no product investigation can be performed, and the customer complaint cannot be confirmed a manufacturing record evaluation was conducted for the finished device lot 2198239 and there were no identified internal actions.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 sterilmed inc., or its employees that the report constitutes an admission that the product, sterilmed 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 ref.No: (b)(4).
Event or Problem Description
It was reported that a patient underwent an atrial fibrillation procedure with a reprocessed viewflex xtra ice catheter and the when the package was opened the tip was noted to be broken off.There was no patient consequence.Multiple attempts have been made to obtain clarification to this complaint.However, no further information has been made available.
Additional Manufacturer Narrative
It was reported that a patient underwent an atrial fibrillation procedure with a reprocessed viewflex xtra ice catheter and the when the package was opened the tip was noted to be broken off.The device was returned to sterilmed for further evaluation.A non-sterile reprocessed viewflex¿ xtra ice catheter 9fr, d087031, was received contained in the decontamination pouch.None of the original packaging was returned for evaluation.Upon receiving the device, visual inspection was performed.There is an observed, unreported kink in the catheter shaft, and the distal tip of the catheter is observed to be fractured and bent, but still in one piece.The physical mark on the device indicated that it had been reprocessed one (1) time, under lot 2198239, serial number (b)(6).The catheter was functionally tested, per sterilmed procedures.Mobility and deflection controls operated as designed.Functional testing was conducted, and the sensitivity of the transducer¿s elements was outside of acceptable tolerances.This could be attributed to the observed fractured tip.The reported issue regarding a broken tip is confirmed based on the findings mentioned above.However, the cause of the fracture and the kinked shaft, or when they occurred (during transit delivery, as well as removal and subsequent handling from its packaging), is undetermined.As part of sterilmed's quality process, all devices are manufactured, inspected, and released to approved specifications.Each device (from its proximal handle and connector to the distal tip) undergo 100% inspection at different points during the manufacturing process to prevent any damage from leaving the facility.The device history record was reviewed, and the device linked to the serial number is noted to have passed all visual and functional criteria prior to its distribution to the customer.The instructions for use (ifu) contain the following warnings, precautions and instructions to prevent sensor damage from occurring prior to the procedure: do not bend, kink, stretch, or forcefully wipe the catheter.These actions may damage the catheter.Use 10f or larger introducer sheath.Remove the reprocessed viewflex¿ xtra ice catheters from the packaging using aseptic technique.Inspect the catheter carefully for tip integrity and catheter condition.Hold the catheter 1 to 2 cm from the introducer valve and feed it into the introducer slowly to prevent buckling of the catheter tip.If additional information is received regarding this event, a supplemental 3500a report will be submitted to the fda.Manufacturer's ref.No: (b)(4).

• Brand Name: VIEWFLEX XTRA ICE CATHETER
• Common Device Name: DIAGNOSTIC INTRAVASCULAR CATHETER
• Manufacturer (Section D): STERILMED, INC.; 5010 cheshire parkway; ste 2; plymouth MN 55446
• Manufacturer (Section G): STERILMED, INC.; 5010 cheshire parkway; ste 2; plymouth MN 55446
• Manufacturer Contact: kate karberg ; 31 technology dr; irvine, CA 92618 ; 3035526892
• MDR Report Key: 18624580
• Report Number: 2134070-2024-00002
• Device Sequence Number: 7509207
• Product Code: OWQ
• UDI-Device Identifier: 10888551045216
• UDI-Public: 10888551045216
• Combination Product (Y/N): N
• Initial Reporter State: FL
• Initial Reporter Country: US
• PMA/510(K) Number: K180890
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Health Professional,Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date (Section B): 02/01/2024

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
• Operator of Device: Health Professional
• Device Expiration Date: 10/11/2024
• Device Catalogue Number: RD087031
• Device Lot Number: 2198239
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 01/10/2024
• Supplement Date Received by Manufacturer: 04/25/2024
• Initial Report FDA Received Date: 02/01/2024
• Supplement Report FDA Received Date: 05/16/2024
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 10/11/2023
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): Yes
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown