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It was reported that during a cardiac ablation procedure for atrial fibrillation and atypical atrial flutter, ablation included the left and right pulmonary veins, posterior wall, and an anterior mitral line, with 108 pulsed field lesions and 7 radiofrequency lesions.One pulsed field lesion temperature was above 46 °c, and one radiofrequency lesion temperature was above 74 °c.A therapeutic activated clotting time of 350 was not achieved despite additional heparin boluses.Activated clotting time values were 264 at insertion, 547, 282, 453, and 282 during follow-up, and 282 at the end of the procedure. during removal of the catheter, congealed gel-like material was observed adhered to the catheter tip.The irregularly shaped pink and yellow material originated from the left atrium. the outcome of this case is unknown.No patient complications have been reported as a result of this event.
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Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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