ATRICURE SYNERGY ABLATION SYSTEM OSL2 A000432

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 2017-10-07 for ATRICURE SYNERGY ABLATION SYSTEM OSL2 A000432 manufactured by Atricure, Inc..

Event Text Entries

[88944902] (b)(4). The device was returned for evaluation and visually and functionally tested. Upon evaluation, device met all criteria and functioned normally. The complaint could not be confirmed.
Patient Sequence No: 1, Text Type: N, H10


[88944903] On (b)(6) 2017, a female patient received an on pump, concomitant mvr/maze procedure with laa management, using an atricure synergy ablation system. During the procedure, the surgeon created lesions using an isolator synergy clamp, standard jaw (osl2) for pvi and then a max1 isolator transpolar pen for epicardial roof and floor lesions with no pv dissection. The pvi lesions were created with two applications of the clamp, including a set of vertical lesions. The laa was removed and sewn shut; the surgeon did not indicate whether this was before or after the ablation. When the patient had been taken off-pump and the surgeon was ready to close the chest, bleeding was noted between the ablation lines near the laa and left pv. The patient was placed back on pump and a suture was applied to stop the bleeding which prolonged the procedure. The mvr, the maze and the laa removal were completed prior to the complication. The patient was doing well as of (b)(6) 2017. No device malfunction or other complications were reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3011706110-2017-00088
MDR Report Key6926186
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2017-10-07
Date of Report2017-10-06
Date of Event2017-09-11
Date Mfgr Received2017-09-12
Device Manufacturer Date2017-07-10
Date Added to Maude2017-10-07
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 Received2017-10-07
Returned To Mfg2017-10-03
Model NumberOSL2
Catalog NumberA000432
Lot Number75112
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 2017-10-07

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