MAUDE Adverse Event Report: BIOSENSE WEBSTER INC WEBSTER ® CS CATHETER WITH EZ STEER® THECHNOLOGY AND AUTO ID; ELECTRODE RECORDING CATHETER OR ELECTRODE RECORDING PROBE

Catalog Number	BD710DF282CT
Medical Device Problem Code	Delivered as Unsterile Product (1421)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	01/17/2024
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that a patient underwent an atrial fibrillation (afib) procedure with a carto vizigo¿ 8.5f bi-directional guiding sheath ¿ medium and a webster ® cs catheter with ez steer® thechnology and auto id.The technician observed that the stop cock on the carto vizigo¿ 8.5f bi-directional guiding sheath ¿ medium was broken.It appeared that the carto vizigo¿ 8.5f bi-directional guiding sheath ¿ medium box and packaging pouch seal were both punctured.The caller then reported that the sterility of the carto vizigo¿ 8.5f bi-directional guiding sheath ¿ medium vizigo was compromised.The carto vizigo¿ 8.5f bi-directional guiding sheath ¿ medium was replaced and the issue was resolved.The procedure continued.The caller also reported that because the carto vizigo¿ 8.5f bi-directional guiding sheath ¿ medium sterility was compromised in the field, the sterility of the webster ® cs catheter with ez steer® thechnology and auto id was also compromised.The webster ® cs catheter with ez steer® thechnology and auto id was replaced and the issue resolved.The procedure continued.Additional information was received.The carto vizigo¿ 8.5f bi-directional guiding sheath ¿ medium side port was broken / cracked.The carto vizigo¿ 8.5f bi-directional guiding sheath ¿ medium was never advanced into the patient.The carto vizigo¿ 8.5f bi-directional guiding sheath ¿ medium reported issues of the stop cock (side port) broken/cracked, packaging pouch seal punctured, and sterility compromised issues were assessed as mdr reportable issues.The webster ® cs catheter with ez steer® thechnology and auto id reported issue of the sterility compromised was assessed as a mdr reportable issue.
Additional Manufacturer Narrative
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.Biosense webster manufacturer's reference number (b)(4) has two reports: (1) mfr # 2029046-2024-00442 for product code d138502 (carto vizigo¿ 8.5f bi-directional guiding sheath - medium).(2) mfr # 2029046-2024-00443 for product code bd710df282ct (webster ® cs catheter with ez steer® thechnology and auto id).
Additional Manufacturer Narrative
The bwi product analysis lab received the device for evaluation on 15-feb-2024.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.If additional information is received regarding this event, a supplemental 3500a report will be submitted to the fda.Manufacturer's reference number: (b)(4).
Additional Manufacturer Narrative
It was reported that a patient underwent an atrial fibrillation (afib) procedure with a carto vizigo¿ 8.5f bi-directional guiding sheath ¿ medium and a webster ® cs catheter with ez steer® thechnology and auto id.The caller reported that because the carto vizigo¿ 8.5f bi-directional guiding sheath ¿ medium sterility was compromised in the field, the sterility of the webster ® cs catheter with ez steer® thechnology and auto id was also compromised.The webster ® cs catheter with ez steer® thechnology and auto id was replaced and the issue resolved.The procedure continued.The device evaluation was completed on 04-mar-2024.The device was returned to biosense webster (bwi) for evaluation.A visual inspection of the returned device was performed following bwi procedures.The device was inspected, and no physical damage was observed.Customer referenced that the sterility was compromised in the field; however, the package was not returned for analysis, due to this condition, the issue reported by the customer was not possible to be confirmed.All units are inspected prior leaving the facility as there are functional tests and inspections at control points based on the process flow diagram (pfd) per its part number to avoid this type of damage from leaving the facility.A manufacturing record evaluation was performed for the finished device batch number, and no internal actions were identified.The issue reported by the customer was not confirmed, due to the package was not returned for analysis.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.H6.Investigation conclusions code of ¿appropriate term/code not available¿ represents, ¿the issue reported by the customer was not confirmed, due to the package was not returned for analysis.¿ if additional information is received regarding this event, a supplemental 3500a report will be submitted to the fda.Manufacturer's reference number: (b)(4).

• Brand Name: WEBSTER ® CS CATHETER WITH EZ STEER® THECHNOLOGY AND AUTO ID
• Common Device Name: ELECTRODE RECORDING CATHETER OR ELECTRODE RECORDING PROBE
• Manufacturer (Section D): BIOSENSE WEBSTER INC; 31 technology drive, suite 200; irvine CA 92618
• Manufacturer (Section G): BIOSENSE WEBSTER INC (JUAREZ); circuito interior norte; 1820parque industrial salvacar; juarez 32599 ; MX 32599
• Manufacturer Contact: kate karberg ; 31 technology dr; irvine, CA 92618 ; 3035526892
• MDR Report Key: 18677394
• Report Number: 2029046-2024-00443
• Device Sequence Number: 12310845
• Product Code: DRF
• UDI-Device Identifier: 10846835002409
• UDI-Public: 10846835002409
• Combination Product (Y/N): N
• Initial Reporter State: CA
• Initial Reporter Country: US
• PMA/510(K) Number: K090898
• 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,Followup
• Report Date (Section B): 03/24/2024

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 Catalogue Number: BD710DF282CT
• Device Lot Number: 31182591M
• 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: 01/17/2024
• Supplement Date Received by Manufacturer: 02/15/2024; 03/04/2024
• Initial Report FDA Received Date: 02/09/2024
• Supplement Report FDA Received Date: 02/26/2024; 03/24/2024
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 11/01/2023
• 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): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Concomitant Medical Products and Therapy/Usage Dates: 8.5F SHEATH WITH CURVE VIZ MDC
• Patient Sex: Unknown