CORPATH 200 SYSTEM 160-00043

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-12-22 for CORPATH 200 SYSTEM 160-00043 manufactured by Corindus, Inc..

Event Text Entries

[63499562] The joystick manufacturing process was evaluated and updated to prevent future occurences of this issue.
Patient Sequence No: 1, Text Type: N, H10


[63499563] The joystick was observed to be "twisted" to the extent that the rubber cowl at the base was "crumpled-up" upon itself. When the joystick was in this condition, there was a tendency for the joystick to not return to its home position. This resulted in the guidewire moving very slowly when it has not be properly actuated. There was no patient injury reported, however unintended guidewire motion has the potential to cause vessel injury.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007822508-2016-00023
MDR Report Key6197973
Date Received2016-12-22
Date of Report2016-12-21
Date of Event2013-06-27
Date Mfgr Received2013-06-27
Date Added to Maude2016-12-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. ROBERT LAVADO
Manufacturer Street309 WAVERLEY OAKS ROAD SUITE 105
Manufacturer CityWALTHAM MA 02452
Manufacturer CountryUS
Manufacturer Postal02452
Manufacturer Phone5086533335
Manufacturer G1CORINDUS, INC.
Manufacturer Street309 WAVERLEY OAKS ROAD SUITE 105
Manufacturer CityWALTHAM MA 02452
Manufacturer CountryUS
Manufacturer Postal Code02452
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCORPATH 200 SYSTEM
Generic NameCORPATH 200 SYSTEM
Product CodeDXX
Date Received2016-12-22
Returned To Mfg2013-07-09
Model Number160-00043
OperatorPHYSICIAN
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerCORINDUS, INC.
Manufacturer Address309 WAVERLEY OAKS ROAD SUITE 105 WALTHAM MA 02452 US 02452


Patients

Patient NumberTreatmentOutcomeDate
10 2016-12-22

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