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ABBOTT MEDICAL TACTIFLEX¿ ABLATION CATHETER, SENSOR ENABLED¿; CATHETER, PERCUTANEOUS, CARDIAC ABLATION, FOR TREATMENT OF ATRIAL FIBRILLATION
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| Model Number |
A-TFSE-DF |
| Medical Device Problem Code |
Adverse Event Without Identified Device or Use Problem (2993)
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| Health Effect - Clinical Code |
Cardiac Perforation (2513)
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| Date of Event |
12/08/2025
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Type of Reportable Event
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Serious Injury
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Event or Problem Description
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During a premature ventricular contractions procedure, a pericardial effusion was noted on the rv/rvot free wall resulting in a pericardiocentesis to be performed.During the procedure, when ablation first came on, contact force on the ablation catheter showed 30g, and the generator metrics showed a change in impedance and power delivery.The patient remained stable but due to a suspicion of a perforation, fluoroscopy and intracardiac echo were performed which confirmed an effusion.By this time the perforation had already self-closed but a pericardiocentesis was performed to drain the effusion.The patient remaining stable throughout.There were no performance issues with any abbott device, and it is suspected that the anatomical area was very thin.
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Additional Manufacturer Narrative
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Additional information: d9, g3, h2, h3, h6, h11.One bi-directional, curve d-f, tactiflex ablation catheter, sensor enabled was received for evaluation.When the returned device was connected to the tactisys quartz unit, optical fibers 1-3 met specifications for optical properties and contact force was displayed with no error messages noted.The magnetic sensors, both thermocouples, and electrodes 1-4 met specifications during electrical testing with no open or short circuits detected.In addition, the device met specifications during temperature testing and flow rate testing.The catheter shaft deflected in both directions when the steering mechanism was actuated and met specifications for curve shape.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed.The cause of the reported event of a pericardial effusion remains unknown.Per the ifu, cardiac perforation is a known risk during the use of this device.
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