ATRICURE SYNERGY ABLATION SYSTEM OLL2 A000362

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2017-10-04 for ATRICURE SYNERGY ABLATION SYSTEM OLL2 A000362 manufactured by Atricure, Inc..

Event Text Entries

[88118844] (b)(4) the device was returned for evaluation and visually and functionally tested. The device met all criteria and functioned normally.
Patient Sequence No: 1, Text Type: N, H10


[88118845] On (b)(6) 2017, a (b)(6), male patient received a cabg/maze procedure via sternotomy and on-pump using an oll2 clamp and ablation system. While performing pulmonary vein isolation, the surgeon was getting transmural lesions on the right side and burned four (4) complete times. Once moving onto the other side, the surgeon positioned the clamp correctly on left veins and kept experiencing the clamp timing out and not getting a complete lesion. After four (4) attempts at ablating, the surgeon noticed bleeding and stated that the clamp had "tore the tissue on the veins". The bleeding was stopped with a stitch and a transfusion was not needed. The cabg procedure was completed, but the full bi-atrial maze procedure was not completed. The surgeon indicated that the bleeding was related to maneuvering around the difficult anatomy and that the tearing of the vein was a procedural complication based on a failure to remove the clamp prior to manipulation. The procedure was prolonged 6-7 minutes. No device malfunction was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3011706110-2017-00087
MDR Report Key6913378
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2017-10-04
Date of Report2017-10-03
Date of Event2017-09-07
Date Mfgr Received2017-09-07
Device Manufacturer Date2017-04-27
Date Added to Maude2017-10-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactANUPAM BEDI
Manufacturer G1ATRICURE, INC.
Manufacturer Street7555 INNOVATION WAY
Manufacturer CityMASON OH 45040
Manufacturer CountryUS
Manufacturer Postal Code45040
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameATRICURE SYNERGY ABLATION SYSTEM
Generic NameATRICURE SYNERGY ABLATION SYSTEM
Product CodeOCM
Date Received2017-10-04
Returned To Mfg2017-09-28
Model NumberOLL2
Catalog NumberA000362
Lot Number73383
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerATRICURE, INC.
Manufacturer Address7555 INNOVATION WAY MASON OH 45040 US 45040


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-10-04

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