ULTRACINCH LP, DEPLOYABLE TISSUE ABLATION, 11 CELL
Received Mar 26, 2010 · Event occurred Oct 13, 2009
Report 3003870001-2010-00003 · MDR key 1649765
Device
Generic name
Ultracinch Lp - 11 Device
Manufacturer
St. Jude MedicalModel number
NACatalog number
12546
Lot number
NA
Product problems
- Insufficient Device Problem Information
Patient
69 YR
- Bradycardia
- Low Blood Pressure/ Hypotension
Narrative
Additional Manufacturer Narrative
WE WERE UNABLE TO EVALUATE THE PRODUCT INVOLVED IN THIS INCIDENT SINCE NO COMPONENTS OF THE DEVICE WERE RETURNED FOR ANALYSIS. REVIEW OF THE DEVICE HISTORY RECORD WAS NOT DONE AS THE LOT NUMBER OF THE DEVICE IS NOT KNOWN. BASED ON THE INFORMATION PROVIDED TO ST. JUDE MEDICAL, THE CAUSE FOR THE REPORTED BRADYCARDIA AND HYPOTENSION REMAINS UNKNOWN. DATE REPORT SUBMITTED TO FDA BY MANUFACTURER: (B)(6)2010. DATE THE INITIAL REPORTER PROVIDED THE INFORMATION TO THE MANUFACTURER: (B)(6)2010.
Description of Event or Problem
IT WAS REPORTED THAT A PATIENT WITH A HISTORY OF AF AND ISCHEMIC CORONARY DISEASE WAS TO RECEIVE CABG SURGERY AND ABLATION. WHEN THE ABLATION WAS TO BE PERFORMED, DURING MANIPULATION AND PLACEMENT OF THE ULTRACINCH 11, THE PATIENT BECAME SEVERELY HYPOTENSIVE AND BRADYCARDIC. CONSEQUENTLY, THE ABLATION COULD NOT BE PERFORMED. THE PATIENT WAS PUT ONTO THE HEART-LUNG MACHINE AND CABG WAS PERFORMED AS PLANNED. THE HOSPITAL STAY WAS NOT PROLONGED DUE TO THE EVENT.