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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 Code Insufficient Flow or Under Infusion (2182)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/08/2025
Type of Reportable Event Malfunction
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.
 
Event or Problem Description
It was reported that the catheter exhibited insufficient flow or under infusion.During a pulmonary vein isolation procedure to treat third-degree atrial fibrillation in the left atrium, a metriq irrigation tubing set was selected for use.Although the irrigation tube was connected to the saline and priming was attempted, perfusion could not be performed.The tubing was reconnected several times, and the three-way stopcock was removed; however, perfusion still could not be achieved.No error message was displayed.The pump was not connected, and the saline bag was manually pressurized but could not be refluxed.The issue occurred during priming outside the patient.The device was replaced with another of the same model, which resolved the issue, and the procedure was completed successfully.There were no patient complications.The device was discarded by the facility and will not be returned for analysis.
 
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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 Key22663454
Report Number2124215-2025-50032
Device Sequence Number17072816
Product Code OAD
UDI-Device Identifier08714729862208
UDI-Public(01)08714729862208(17)251014(10)60595946
Combination Product (Y/N)N
Initial Reporter CountryJA
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 Other,Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 07/30/2025
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 Date10/14/2025
Device Model Number86447
Device Catalogue Number86447
Device Lot Number0060595946
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 07/08/2025
Initial Report FDA Received Date07/30/2025
Date Device Manufactured10/14/2024
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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