inforMED
MalfunctionLDF

TRANSLUMINAL BIPOLAR PACING PROBE

Received Apr 30, 2025 · Event occurred Apr 16, 2025

Report 2015691-2025-03416 · MDR key 21939339

Device

Generic name

Electrode, Pacemaker, Temporary

Model number

PE074F5

Lot number

NI

Product problems

  • Pacing Problem
  • Pacing Problem

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE DEVICE EVALUATION IS ANTICIPATED. HOWEVER, THE COMPLAINT CANNOT BE CONFIRMED WITHOUT THE COMPLETION OF A PRODUCT EVALUATION. A SUPPLEMENTAL REPORT WILL BE FORTHCOMING WHEN THE INVESTIGATION IS COMPLETED. COMPLAINT HISTORIES FOR ALL REPORTED EVENTS ARE REVIEWED AGAINST TRENDING CONTROL LIMITS ON A MONTHLY BASIS AND ANY EXCURSIONS ABOVE THE CONTROL LIMITS ARE ASSESSED AND DOCUMENTED AS A PART OF THE MONTHLY REVIEW. THE RELATED REPORT ID FOR THE FIRST CATHETER IS 2015691-2025-03395.

Description of Event or Problem

AS REPORTED, DURING USE IN PATIENT, THE SWAN-GANZ PACING CATHETERS DID NOT SENSE NOR PACE. THE FIRST CATHETER WAS ABLE TO SENSE AND PACE FOR PART OF THE PROCEDURE BUT THEN STOPPED WORKING. THE CATHETER USED TO REPLACE THE FIRST CATHETER DID NOT SENSE OR PACE FROM THE BEGINNING OF USE. THE PROBLEM WAS SOLVED BY REPLACING THE SECOND CATHETER WITH A NEW ONE. THERE WAS NO ALLEGATION OF PATIENT INJURY.

Additional Manufacturer Narrative

ONE PACING CATHETER WITH ATTACHED MONOJECT LIMITED VOLUME SYRINGE WAS RETURNED FOR EVALUATION. THE CUSTOMER REPORT OF INABILITY TO SENSE OR PACE COULD NOT BE CONFIRMED. NO VISIBLE DAMAGE OR ABNORMALITY WAS OBSERVED FROM CATHETER BODY, BALLOON OR WINDINGS. CONTINUITY TESTING WAS PERFORMED ON THE DISTAL AND PROXIMAL CIRCUITS AND THERE WERE NO OPEN, INTERMITTENT, OR SHORT CONDITIONS OBSERVED. THE BALLOON INFLATED CLEAR AND CONCENTRIC WITH 1.3 CC AIR AND THE BALLOON REMAINED INFLATED FOR 5 MINUTES WITHOUT LEAKAGE. AN ENGINEERING EVALUATION WAS INITIATED TO ASSESS FOR ANY MANUFACTURING RELATED PROCESSES WHICH COULD BE CORRELATED TO THE COMPLAINT. SINCE THE COMPLAINT AFFECTED UNIT WAS RETURNED FOR EVALUATION AND NO DEFECT WAS FOUND A PRODUCT NON-CONFORMANCE OR DEVICE FAILURE ASSOCIATED TO MANUFACTURING OR DESIGN COULD NOT BE CONFIRMED. AS PART OF THE MANUFACTURING PROCESS 100% OF THE UNITS GO THROUGH AN ELECTRICAL INSPECTION. THE DEVICE HISTORY RECORD REVIEW WAS NOT COMPLETED, AS THE LOT NUMBER WAS NOT PROVIDED.