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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION METRIQ IRRIGATION TUBING SET; CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FLUTTER

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BOSTON SCIENTIFIC CORPORATION METRIQ IRRIGATION TUBING SET; CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FLUTTER Back to Search Results
Model Number 86447
Medical Device Problem Codes Device Displays Incorrect Message (2591); Material Integrity Problem (2978)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/09/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that when the tubing was inserted and flushing was attempted, no fluid came out.During an ablation procedure to treat atrial fibrillation (afib), a metriq irrigation tubing set was used.When the tubing was inserted and flushing was attempted, no fluid came out.It was found that the flush was pushed back into the saline bag due to the tubing assembly being reversed.A small part of the tubing fits in only one direction, which caused the flush into the saline bag instead of pulling it out.The tubing set was then replaced, and the procedure was completed successfully with no patient complications.The device was disposed of and will not be returned for analysis.
 
Additional Manufacturer Narrative
It was indicated that the device will not be returned for evaluation.If there is any further relevant information obtained, a supplemental medwatch will be filed.
 
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Brand Name
METRIQ IRRIGATION TUBING SET
Common Device Name
CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FLUTTER
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
AVAIL MEDICAL PRODUCTS INCORPORATED
6201 america center drive
san jose CA 95002
Manufacturer Contact
mary crawford
4100 hamline avenue north
dc a330
saint paul, MN 55112
6514400979
MDR Report Key22140475
Report Number2124215-2025-34580
Device Sequence Number8139775
Product Code OAD
UDI-Device Identifier08714729862208
UDI-Public(01)08714729862208(17)190131(10)M0041170
Combination Product (Y/N)N
Initial Reporter StateGA
Initial Reporter CountryUS
PMA/510(K) Number
P150005
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 06/04/2025
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 Date01/31/2019
Device Model Number86447
Device Catalogue Number86447
Device Lot NumberM0041170
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/09/2025
Initial Report FDA Received Date06/04/2025
Date Device Manufactured01/31/2018
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 Number1
Patient SexUnknown
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