CORONARY SINUS CATHETER CRYO-UNKNOWN

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 2020-03-19 for CORONARY SINUS CATHETER CRYO-UNKNOWN manufactured by Medtronic Cryocath Lp.

Event Text Entries

[188331930] Concomitant medical products: competitor laa occlusion device procedure. 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 manufacturers were noted in the article; however, a one to one correlation could not be made with unique product lot/serial numbers/manufacturers. The overall baseline gender characteristics is 50% male and 50% female; the age of the patients was 65 years old. 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:? Left atrial appendage management with the watchman device during hybrid ablation of atrial fibrillation.? Hindawi journal of interventional cardiology. Volume 2019, article id 4525084, 7 pages. Https://doi. Org/10. 1155/2019/4525084. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[188331931] The literature publication reported the following patient complications during the use of a coronary sinus catheter. Of note, the complications that occurred were? Not necessarily related to the device implantation.? There was one patient who experienced a pneumothorax, which was drained with a pleural catheter; one patient with transient elevated right hemidiaphragm; one patient with pericarditis; one hospital admission because of tachycardiomyopathy; one patient who needed a blood transfusion two days after the procedure, due to? Excessive blood? Loss through the thoracic drain, which occurred on the date of the procedure; for this patient medication given and the bleeding stopped. Of note, multiple patients/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 catheter 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 Number3002648230-2020-00164
MDR Report Key9856868
Report SourceFOREIGN,HEALTH PROFESSIONAL,L
Date Received2020-03-19
Date of Report2020-03-19
Date of Event2019-01-01
Date Mfgr Received2020-03-16
Date Added to Maude2020-03-19
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 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 NameCORONARY SINUS CATHETER
Generic NameCATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING
Product CodeDRF
Date Received2020-03-19
Model NumberCRYO-UNKNOWN
Catalog NumberCRYO-UNKNOWN
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. Life Threatening; 3. Required No Informationntervention 2020-03-19

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