FLEXCATH ADVANCE STEERABLE SHEATH 4FC12

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,l report with the FDA on 2020-03-13 for FLEXCATH ADVANCE STEERABLE SHEATH 4FC12 manufactured by Medtronic Cryocath Lp.

Event Text Entries

[188331457] Medtronic was made aware of this event through a search of literature publications. It was not possible to ascertain specific device information from the literature publication or to match the event with previously reported events. This information is based entirely on journal literature. This event occurred outside the us. All information provided is included in this report. Of note, multiple patients/multiple methods/multiple manufacturers were noted in the article; however, a one to one correlation could not be made with unique product lot/serial numbers/methods/manufacturers. The overall baseline gender characteristics is male; the age of the patients was 70 years old. The baseline weight of the patients involved is 64 kgs. Without a lot number or device serial number, the manufacturing date cannot be determined. Since no device id was provided, it is unknown if this event has been previously reported. A request for additional information will be made and upon receipt a supplemental report will be submitted accordingly. Referenced article: limited efficacy of a figure-of-eight suture for hemostasis after cryoballoon atrial fibrillation ablation with uninterrupted oral anticoagulants. J cardiol (2020), https://doi. Org/10. 1016/j. Jjcc. 2020. 01. 012. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[188331458] The literature publication reported the following patient complication during the use of a cryoballoon ablation catheter and sheath. There were two (2) patients who experienced pericardial effusions; however, no sign of cardiac tamponade was observed, and they did not require a pericardiocentesis. There were 31 patients with bleeding at the puncture site; out of this group there were two (2) patients with? Major? Bleeding. In addition, there were two (2) patients who had pseudoaneurysms; one required surgical intervention and a blood transfusion, and the other one was treated with manual compression and an injection of thrombin. These occurred at six and seven days after the procedure, respectively. Of note, multiple patients/methods/manufacturers were noted in the article; however, a one to one correlation could not be made with unique product lot/serial numbers. The status/location of the cryoballoon catheter and sheath is unknown. Further follow up did not yet yield any additional information. No further patient complications have been reported as a result of this event.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3002648230-2020-00158
MDR Report Key9831179
Report SourceFOREIGN,HEALTH PROFESSIONAL,L
Date Received2020-03-13
Date of Report2020-03-13
Date of Event2020-01-01
Date Mfgr Received2020-03-03
Date Added to Maude2020-03-13
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 ContactPAULA BIXBY
Manufacturer Street8200 CORAL SEA ST NE
Manufacturer CityMOUNDS VIEW MN 55112
Manufacturer CountryUS
Manufacturer Postal55112
Manufacturer Phone7635055378
Manufacturer G1MEDTRONIC CRYOCATH LP
Manufacturer Street9000 AUTOROUTE TRANSCANADIENNE
Manufacturer CityPOINTE-CLAIRE,QC H9R 5Z8
Manufacturer CountryCA
Manufacturer Postal CodeH9R 5Z8
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFLEXCATH ADVANCE STEERABLE SHEATH
Generic NameCATHETER, STEERABLE
Product CodeDRA
Date Received2020-03-13
Model Number4FC12
Catalog Number4FC12
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC CRYOCATH LP
Manufacturer Address9000 AUTOROUTE TRANSCANADIENNE POINTE-CLAIRE,QC H9R 5Z8 CA H9R 5Z8


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2020-03-13

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