CORPATH GRX SYSTEM 301

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2017-11-28 for CORPATH GRX SYSTEM 301 manufactured by Corindus, Inc..

Event Text Entries

[93563021] Issue resolved itself after a system shutdown and reboot. A subsequent procedure was completed using the same control console and the device functioned as intended. It has not been possible to recreate the issue. No further evaluation or conclusions can be reached.
Patient Sequence No: 1, Text Type: N, H10


[93563022] After removing the pre-dilation balloon, the stent was placed in the cassette as would normally be done. At this time, the control console screen froze. The user tried pressing load/exchange guide, opening and closing the cassette covers and an e-stop restart to get the screen to unfreeze. The physician had to manually remove the guidewire and stent from the locked cassette and convert to a manual procedure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007822508-2017-00002
MDR Report Key7065049
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2017-11-28
Date of Report2017-11-28
Date of Event2017-11-10
Date Mfgr Received2017-11-10
Date Added to Maude2017-11-28
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 Report3

Device Details

Brand NameCORPATH GRX SYSTEM
Generic NameCORPATH GRX SYSTEM
Product CodeDXX
Date Received2017-11-28
Model Number301
Catalog Number301
OperatorPHYSICIAN
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCORINDUS, INC.
Manufacturer Address309 WAVERLEY OAKS ROAD SUITE 105 WALTHAM MA 02452 US 02452


Patients

Patient NumberTreatmentOutcomeDate
10 2017-11-28

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