ACHIEVE MAPPING CATHETER - 20 MM 990063-020

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2020-03-14 for ACHIEVE MAPPING CATHETER - 20 MM 990063-020 manufactured by Medtronic Cryocath Lp.

MAUDE Entry Details

Report Number3002648230-2020-00159
MDR Report Key9832672
Report SourceCOMPANY REPRESENTATIVE
Date Received2020-03-14
Date of Report2020-03-13
Date of Event2019-12-25
Date Mfgr Received2020-02-13
Device Manufacturer Date2019-09-02
Date Added to Maude2020-03-14
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 NameACHIEVE MAPPING CATHETER - 20 MM
Generic NameCATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING
Product CodeDRF
Date Received2020-03-14
Returned To Mfg2020-01-06
Model Number990063-020
Catalog Number990063-020
Lot Number218369992
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC CRYOCATH LP
Manufacturer Address9000 AUTOROUTE TRANSCANADIENNE POINTE-CLAIRE,QC H9R 5Z8 CA H9R 5Z8


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-14

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