| Model Number |
M004PF41M444 |
| Medical Device Problem Codes |
Delivered as Unsterile Product (1421); Difficult to Open or Remove Packaging Material (2922)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
04/29/2026
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Type of Reportable Event
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Malfunction
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Event or Problem Description
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During preparation for a pulse field ablation procedure, a farastar catheter connection cable was selected for use.The package was difficult to open, and while attempting to remove the cable, one end flipped out of the packaging and contacted a non-sterile surface.The device was considered contaminated and was replaced.The procedure was completed successfully with no patient injury or complications.
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Event or Problem Description
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During preparation for a pulse field ablation procedure, a farastar catheter connection cable was selected for use.The package was difficult to open, and while attempting to remove the cable, one end flipped out of the packaging and contacted a non-sterile surface.The device was considered contaminated and was replaced.The procedure was completed successfully with no patient injury or complications.It was further reported that the event occurred prior to the patient's arrival in the procedure room.The device was disposed.
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Additional Manufacturer Narrative
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Additional information, b5, updated.Investigation summary.With all the available information, boston scientific is unable to confirm cause of the reported clinical observation of packaging.The device has not been received for analysis; therefore, a technical analysis of the complaint device could not be completed.However, boston scientific was able to determine the cause of the reported event not sterile as the event description stated: the difficulty in opening the package made one end of the cable flip out and touch something that got it contaminated and lost sterility, indicating that the cause of the loss of sterility was due to inadvertently letting the cable come in contact with something (that could have potentially contaminated the cable) while opening the package.Device history record review.It was confirmed this device met specification prior to distribution and there were no manufacturing deviations which could have contributed to the reported event.Risk review.A risk review performed for the farastar connection cable device confirmed that the event of packaging, and not sterile are known events defined in the product risk management documentation.This event type has been accounted for during product risk analysis to support acceptable risk benefit for the product.Labeling review.Based on the information provided, there is no evidence that the device was used in a manner inconsistent with the labelled indications/instructions for use (ifu).Investigation conclusion.Boston scientific has assigned an investigation conclusion code of unintended use error caused or contributed to event and cause not established and supporting evidence that came to this conclusion.Boston scientific investigation findings were unable to establish a clear conclusion about the cause of the reported event of packaging.However, was able to determine the cause of the reported event not sterile.The device met all requirements prior to being approved for final distribution/sale and there was no evidence to suggest that the instructions for use (ifu) was not followed.
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Search Alerts/Recalls
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