CORPATH 200 SYSTEM 160-00043

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2018-11-19 for CORPATH 200 SYSTEM 160-00043 manufactured by Corindus, Inc..

Event Text Entries

[128038401] The actual device was not returned. However, review of log files from the device indicated that the joystick was being activated as soon as the device was enabled. As such it appears that the joystick failed in a way that it was left in a constantly on position. It is possible that the drape used to cover the device may have been pulled too tight by the user, incidentally pushing the joystick into the "on" position. Since the device was not returned, it is not possible to deduce what might have caused this failure, yet in discussions with the distributor, the system is currently working as intended which indicates it as the user issue to be the most likely scenario.
Patient Sequence No: 1, Text Type: N, H10


[128038402] The user reported that after loading a guidewire into the cassette and pressing the "enable" button on the control console that the guidewire started moving forward without the user activating the joystick. The emergency stop button had to be pressed to stop the guidewire from moving. No patient injury was reported.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007822508-2018-00007
MDR Report Key8086210
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2018-11-19
Date of Report2018-11-09
Date of Event2018-10-23
Date Mfgr Received2018-10-23
Date Added to Maude2018-11-19
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
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCORPATH 200 SYSTEM
Generic NameCORPATH 200 SYSTEM
Product CodeDXX
Date Received2018-11-19
Model Number160-00043
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerCORINDUS, INC.
Manufacturer Address309 WAVERLEY OAKS ROAD SUITE 105 WALTHAM MA 02452 US 02452


Patients

Patient NumberTreatmentOutcomeDate
10 2018-11-19

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