CORPATH GRX SYSTEM 302

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2018-09-28 for CORPATH GRX SYSTEM 302 manufactured by Corindus, Inc..

Event Text Entries

[122014270] A loose extended reach arm has the potential to cause unintended motion of the interventional devices. According to the user, the case was completed successfully with no patient complications and no unintended motion of interventional devices was noted. Corindus service went to the site to evaluate the unit and determined that the friction joint of the extended reach arm had loosened beyond acceptable specification. Service was conducted to the friction joint and return the extended reach arm to specification.
Patient Sequence No: 1, Text Type: N, H10


[122014271] The user noted that the friction joint of the extended reach arm continued to move after positioning the arm. It was also stated that the extended reach arm drifted when pulling back the guide catheter support track.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007822508-2018-00006
MDR Report Key7918144
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2018-09-28
Date of Report2018-09-28
Date of Event2018-09-09
Date Mfgr Received2018-09-10
Device Manufacturer Date2017-02-20
Date Added to Maude2018-09-28
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 ContactROBERT 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
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCORPATH GRX SYSTEM
Generic NameCORPATH GRX SYSTEM
Product CodeDXX
Date Received2018-09-28
Model Number302
Catalog Number302
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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 2018-09-28

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