OPTRELL Mapping Catheter with TRUEref TechnologyRecalls & reported problems across all models
Biosense Webster Inc · 2 models in the FDA device registry
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 46
- Deaths reported
- 0
- Injuries reported
- 21
- Recalls
- 0
We found 2 models of OPTRELL Mapping Catheter with TRUEref Technology by Biosense Webster Inc in the FDA's device registry (GUDID). Together they are named in 46 adverse event reports in the FDA's MAUDE database, received between Nov 14, 2023 and Sep 23, 2026 — classified as 21 injuries, 25 malfunctions.
The most frequently reported specific device problem is “Patient Device Interaction Problem” (21 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event. Widely used products collect more reports, so totals can't be used to compare products or estimate failure rates. Only reports that name a model's exact device identifier are counted. What reports can and can't tell you · How this data works
Reports received per month, all models
Most reported OPTRELL Mapping Catheter with TRUEref Technology problems
Device problems
- Patient Device Interaction Problem21
- Entrapment of Device10
- Coagulation in Device or Device Ingredient6
- Obstruction of Flow5
- Material Twisted/Bent4
- Failure to Advance2
- Adverse Event Without Identified Device or Use Problem1
- Appropriate Device Problem Term/Code Not Available1
Patient problems
- No Clinical Signs, Symptoms or Conditions26
- Cardiac Tamponade8
- Heart Block3
- Arrhythmia2
- Cardiac Arrest2
- Cardiac Perforation2
- Tachycardia2
- Asystole1
OPTRELL Mapping Catheter with TRUEref Technology models
2 models, most reported first. Each model has its own page with its reports, recalls and device details.
- OPTRELL Mapping Catheter with TRUEref Technology D142901Catheter, intracardiac mapping, high-density array41 reports
- OPTRELL Mapping Catheter with TRUEref Technology D142902Catheter, intracardiac mapping, high-density array5 reports
Recent OPTRELL Mapping Catheter with TRUEref Technology adverse event reports
The 15 most recent reports across all models, in the reporter's own words as published by the FDA.
InjurySep 23, 2026Patient Device Interaction Problem
It was reported that during a clinical study Atrial Fibrillation (AFIb) case, the patient suffered complete heart block requiring surgical intervention. Patient received an index cardiac ablation for ventricular tachycardia. On (b)(6) 2026, patient experienced complete heart block (AE#1), categorized as moderate and serious, defined by hospitalization with an admission date of (b)(6) 2026 and a discharge date of (b)(6) 2026. Relationship to study device is probable (NAVISTAR THERMOCOOL AND OPTRELL CATHETERS) and relationship to the index study procedure is probable. The adverse event is anticipated. The outcome is resolved with an end date of (b)(6) 2026. Intervention was surgery (Upgrade to a CRT-D "[Cardiac Resynchronization Therapy Defibrillator]" System. Patient had already a 1 Chamber -ICD "[Implantable Cardioverter-Defibrillator]")
Patient problems: Heart Block
MAUDE report 50871202 ↗InjuryMar 16, 2026Patient Device Interaction Problem
A PATIENT UNDERWENT AN ISCHEMIC VENTRICULAR TACHYCARDIA (ISVT) ABLATION PROCEDURE WITH A OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY AND WHILE MAPPING WITH THE DEVICE, THE PATIENT EXPERIENCED BLOOD PRESSURE DROPPED/HYPOTENSION, VENTRICULAR TACHYCARDIA, VENTRICULAR FIBRILLATION TREATED WITH CARDIOVERSION, CPR AND EPINEPHRINE ADMINISTRATION. THE REPORT INDICATED THAT AFTER MAPPING THE LEFT VENTRICLE WITH THE OPTRELL CATHETER, THE PHYSICIAN INDUCED VENTRICULAR TACHYCARDIA WITH RV PACING. ANESTHESIOLOGIST THEN NOTED THAT THE PATIENT'S BLOOD PRESSURE DROPPED/HYPOTENSION. THE STAFF CARDIOVERTED THE PATIENT 7 OR 8 TIMES WITHOUT SUCCESS. THE PATIENT'S RHYTHM THEN DEGRADED TO VENTRICULAR FIBRILLATION. CPR WAS PERFORMED, ALONG WITH SEVERAL DEFIBRILLATION ATTEMPTS AND EPINEPHRINE ADMINISTRATION. THE PATIENT'S RHYTHM WAS EVENTUALLY RESTORED TO SINUS RHYTHM. THE PATIENT IS CURRENTLY STABLE.
Patient problems: Cardiac Arrest; Tachycardia; Ventricular Fibrillation
MAUDE report 24606801 ↗InjuryMar 4, 2026Adverse Event Without Identified Device or Use Problem; Patient Device Interaction Problem
DURING A CLINICAL TRIAL IT WAS REPORTED THAT A PATIENT UNDERWENT A VENTRICULAR TACHYCARDIA PROCEDURE WITH A QDOT MICRO CATHETER AND AN OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY AND SUFFERED A PERICARDIAL EFFUSION WHICH REQUIRED PROLONGED HOSPITALIZATION. PATIENT RECEIVED AN INDEX VENTRICULAR TACHYCARDIA CARDIAC ABLATION ON (B)(6) 2026. ON (B)(6) 2026 START DATE AND SITE AWARENESS DATE OF 06-FEB-2026, THE PATIENT EXPERIENCED PERICARDIAL EFFUSION WITHOUT HEMODYNAMIC RELEVANCE AFTER THE ABLATION PROCEDURE WITH A QDOT MICRO CATHETER CATEGORIZED AS MODERATE AND SERIOUS DEFINED BY IN PATIENT/PROLONGED HOSPITALIZATION WITH AN ADMISSION DATE OF (B)(6) 2026 AND DISCHARGED DATE OF (B)(6) 2026. RELATIONSHIP TO STUDY DEVICES (QDOT MICRO AND OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY) WAS PROBABLE AND NOT RELATED TO ALL OTHER DEVICES. THE RELATIONSHIP WITH THE INDEX STUDY PROCEDURE IS CAUSAL AND EXPECTED/ANTICIPATED. THE OUTCOME IS RESOLVED WITH AN END DATE OF (B)(6) 2026 WITH NO INTERVENTION NOTED. THE DATE THE EVENT IS FIRST REPORTED TO BE AN SERIOUS ADVERSE EVENT (SAE) IS 06-FEB-2026.
Patient problems: Cardiac Tamponade; No Clinical Signs, Symptoms or Conditions
MAUDE report 24513751 ↗MalfunctionJan 27, 2026Manufacturing, Packaging or Shipping Problem; Material Protrusion/Extrusion
IT WAS REPORTED THAT A PATIENT UNDERWENT AN ISCHEMIC VENTRICULAR TACHYCARDIA (ISVT) ABLATION PROCEDURE WITH AN OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY AND PRIOR TO BEING INSERTED INTO THE BODY, THE CATHETER COATING WAS COMING OFF AND WIRES AND HARDWARE WERE EXPOSED. THE CATHETER WAS REPLACED AND THE PROCEDURE CONTINUED. THE REPORTER STATED THAT THE FAULTY CATHETER WAS BRAND NEW. A REPLACEMENT CATHETER WAS REQUESTED. THE REPORTER STATED THAT THE NGEN GENERATOR WAS USED FOR ABLATION. THERE WAS NO ADVERSE PATIENT CONSEQUENCE REPORTED. ADDITIONAL INFORMATION INDICATED THAT THE ISSUE WAS FOUND NEAR THE PADDLE COMPONENT OF THE OPTRELL. THE CATHETER WAS NOT INSERTED THROUGH A SHEATH. THE DAMAGE WAS NOTED WHEN THE CATHETER WAS REMOVED FROM PACKAGE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24186663 ↗MalfunctionJan 21, 2026Failure to Advance
IT WAS REPORTED BY THE BIOSENSE WEBSTER INC REPRESENTATIVE THAT THE INTRODUCER OF THE OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY HAD A SMALLER FLAIR THAN THE AGILIS¿ 13F SHEATH AND THE INTRODUCER WENT INSIDE THE SHEATH AND GOT STUCK. THIS HAPPENED AT THE END OF THE CASE AND THEY PULLED EVERYTHING OUT WITHOUT ANY PROBLEMS. THERE WERE NO PATIENT CONSEQUENCES.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 24141731 ↗MalfunctionJan 5, 2026Obstruction of Flow
IT WAS REPORTED THAT A PATIENT UNDERWENT A CARDIAC ABLATION PROCEDURE WITH AN OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY AND IRRIGATION ISSUE (DEVICE USED IN THE PATIENT) WAS OBSERVED. OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY IRRIGATION ISSUE. IMPOSSIBLE TO FLUSH. NO PATIENT CONSEQUENCE REPORTED. ADDITIONAL INFORMATION WAS RECEIVED ON 09 DECEMBER 2025. THE DEVICE WAS USED IN THE PATIENT. PRESSURIZED INFUSION BAGS, SAME USED WITH ANY OTHER CATHETERS (E.G. PENTARAY, OCTARAY, ETC.). NO ERROR, DISCOVERED BY THE PHYSICIAN WHEN TAKING OUT THE CATHETER. THEY TRIED TO FLUSH BUT WAS UNSUCCESSFUL. NO ISSUES WITH FLOW RATE CHANGE AT THE START OF THE ABLATION. THE IRRIGATION ISSUE WAS ORIGINALLY CONSIDERED NON-REPORTABLE, HOWEVER, BWI BECAME AWARE ON 09-DEC-2025 THAT THE DEVICE WAS USED IN THE PATIENT AND HAVE REASSESSED THE EVENT AS REPORTABLE. THE AWARENESS DATE FOR THIS RECORD IS 09-DEC-2025.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23970069 ↗InjuryJan 1, 2026Entrapment of Device; Patient Device Interaction Problem
IT WAS REPORTED THAT A PATIENT UNDERWENT A NON-ISCHEMIC VENTRICULAR TACHYCARDIA (NON-ISVT) ABLATION PROCEDURE WITH AN OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY AND VIZIGO. THE OPTRELL CATHETER COULD NOT BE REMOVED FROM THE PATIENT¿S GROIN THROUGH THE VIZIGO SHEATH AND SURGICAL INTERVENTION WAS REQUIRED FOR REMOVAL. IT WAS REPORTED THAT THE RIGHT VENTRICLE (RV) CATHETER WENT THROUGH OPTRELL CATHETER AND WHEN OPTRELL WAS REMOVED, THE VIZIGO BENT INSIDE THE PATIENT AND COULD NOT BE REMOVED FROM THE PATIENT¿S GROIN. THE INTRODUCER WAS REMOVED SURGICALLY FROM THE GROIN. THE PROCEDURE WAS SUCCESSFULLY COMPLETED. THE SURGERY WAS DELAYED DUE TO THE REPORTED EVENT FOR THIRTY (30) MINUTES. ADDITIONAL INFORMATION INDICATED THAT THERE WAS RESISTANCE BETWEEN THE VASCULATURE; HOWEVER, THERE WAS NO ALTERATION ON SHAFT SURFACE. THE RESISTANCE RESULTED IN DAMAGE TO THE SHEATH. THERE WAS NO RESISTANCE TO SHEATH WHEN THEY WERE TRYING TO PUT THE CATHETER/DILATOR INTO THE SHEATH. THE CATHETER OR WIRE COULD NOT BE PUT THROUGH THE SHEATH. THE RESISTANCE RESULTED IN DAMAGE TO THE DILATOR THAT BENT LIKE A U-TURN. THE DILATOR/CATHETER/NEEDLE COULD NOT BE MOVED WITHIN THE SHEATH; HOWEVER, NOTHING WAS
Patient problems: Unspecified Tissue Injury
MAUDE report 23938947 ↗InjuryDec 10, 2025Patient Device Interaction Problem; Patient Device Interaction Problem
AFTER A SUPRAVENTRICULAR TACHYCARDIA (SVT) ABLATION PROCEDURE WITH AN OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY, THE PATIENT EXPERIENCED BLOOD PRESSURE DROP AND PERICARDIAL EFFUSION WHILE PULLING THE CATHETER TREATED INITIALLY WITH PROTAMINE FOLLOWED BY PERICARDIOCENTESIS. THE PATIENT WAS STABLE. IT WAS REPORTED AFTER AN SVT CASE, A PERICARDIAL EFFUSION WAS NOTICED. AT THE END OF THE PROCEDURE WHILE PULLING OUT THE CATHETERS, THE MEDICAL TEAM GAVE PROTAMINE THEN THEY NOTICED A DROP IN BLOOD PRESSURE ON THE PATIENT. THE PERICARDIAL EFFUSION WAS CONFIRMED BY TRANSTHORACIC ECHO. THE MEDICAL INTERVENTION PROVIDED WAS PERICARDIOCENTESIS. THEY FIRST GAVE A LITTLE MORE PROTAMINE BUT THEN ENDED UP ¿TAPPING AND DRAINING¿ THE PATIENT. THE PATIENT WAS REPORTED TO BE IN STABLE CONDITION. THEY DIDN¿T COMPLETE ANY ABLATION DURING THE PROCEDURE. AN OPTRELL CATHETER WAS USED FOR MAPPING. THEY ALSO USED A CARTO 3 SYSTEM, DECA NAV CATHETER AND A QUAD CATHETER DURING THE PROCEDURE. NO GENERATOR WAS USED DURING THE PROCEDURE. THE PHYSICIAN DID NOT THINK THE OPTRELL CATHETER CAUSED THE ISSUE AND BELIEVED IT WAS THE RIGHT ATRIAL OR RIGHT VENTRICULAR CATHETER. NO ADDITIONAL DETAILS OR INFORMATION
Patient problems: Cardiac Tamponade
MAUDE report 23770958 ↗MalfunctionNov 26, 2025Entrapment of Device; Appropriate Device Problem Term/Code Not Available; Entrapment of Device; Appropriate Device Problem Term/Code Not Available
DURING VENTRICULAR TACHYCARDIA (VT)/ PREMATURE VENTRICULAR CONTRACTION (PVC) PROCEDURE, WHILE MAPPING WITH AN OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY, THE PATIENT EXPERIENCED ECTOPY, ENTANGLED WITH QUAD CATHETER AND AFTER ASSISTANCE FROM ANOTHER PHYSICIAN, IT WAS REMOVED BY BREAKING THE SPLINES. IT WAS REPORTED AT CHUM LAB A THAT DURING AN IDIOPATHIC VT\PVC ABLATION PROCEDURE, WHILE MAPPING WITH OPTRELL CATHETER, THE RV QUAD CATHETER WAS IN PLACE AFTER THE OPTRELL CATHETER WAS ADVANCED IN THE RVOT. SOME MAPPING WAS PERFORMED, WHILE THE MANIPULATION THERE WAS TOO MUCH ECTOPY, SO THE OPTRELL CATHETER WAS PULLED IN THE RIGHT ATRIUM (RA). AFTER IT WAS DIFFICULT TO DO THE MANIPULATION AND ACHIEVED TO PUT THE OPTRELL BACK IN THE RIGHT VENTRICULAR OUTFLOW TRACT (RVOT), BUT IT WAS WITH THE FAN (ELECTRODES) POINTING DOWN. THE MANIPULATION DID NOT CORRESPOND TO THE MOVEMENT ACCORDING TO THE PHYSICIAN. SHE LOOKED AT THE FLUOROSCOPY, AND THE TWO CATHETERS WERE TANGLED, AND THE QUAD WAS INSIDE ONE OF THE OPTRELL SPLINES. THE OPTRELL WAS INSERTED INSIDE THE FEMORAL SHEATH ABOUT 1 CM IN. NOTHING WAS MOVING. ANOTHER PHYSICIAN CAME TO HELP, AND THEY MANAGED TO MOVE THE OPTRELL BY BREAKING
Patient problems: Arrhythmia
MAUDE report 23658949 ↗InjuryNov 26, 2025Signal Artifact/Noise; Entrapment of Device; Patient Device Interaction Problem; Signal Artifact/Noise; Entrapment of Device; Patient Device Interaction Problem
DURING VENTRICULAR TACHYCARDIA (VT) ABLATION PROCEDURE WITH AN OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY, THE PATIENT EXPERIENCED STACKING CATHETERS (IMPELLA PIG TAIL/OPTRELL), VT RECURRENCE REQUIRING (EXTRACORPOREAL MEMBRANE OXYGENATION) ECMO. IT WAS REPORTED THAT DURING A VT PROCEDURE WITH AN OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY, THE LEFT VENTRICULAR EJECTION FRACTION WAS LOW. MAPPING WAS PERFORMED WITH OPTRELL AFTER IMPELLA INSERTION. DURING MAPPING/INSERTION, THE PIG-TAIL PORTION OF IMPELLA AND OPTRELL WERE STACKED. ADDITIONALLY, SIGNAL NOISE OCCURRED. INTRACARDIAC ONLY, IN CARTO3 ONLY, THE CATHETER WAS IN THE PATIENT¿S BODY AT THE TIME OF THE SIGNAL NOISE, AND DURING MAPPING WITH A MULTIPOLAR CATHETER, SIGNAL NOISE OCCURRED AT ELECTRICAL POTENTIAL OCCASIONALLY. THERE WAS A POSSIBILITY OF INTERFERENCE WITH IMPELLA. THERE WAS NO HEALTH HAZARD ATTRIBUTED TO THE PRODUCT, BUT THE HISTORY OF VENTRICULAR TACHYCARDIA COULD NOT BE CONTROLLED, NECESSITATING ECMO SUPPORT. ABLATION WAS PERFORMED, BUT THE VENTRICULAR TACHYCARDIA ITSELF DID NOT STOP. BECAUSE THE VENTRICULAR TACHYCARDIA RECURRED FREQUENTLY, ECMO WAS INITIATED, AND THE PATIENT LEFT THE ROOM. THE PATIENT HAD
Patient problems: No Clinical Signs, Symptoms or Conditions; Tachycardia
MAUDE report 23654080 ↗MalfunctionOct 30, 2025Obstruction of Flow; Obstruction of Flow
IT WAS REPORTED THAT A PATIENT UNDERWENT A CARDIAC ABLATION PROCEDURE WITH OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY AND AN IRRIGATION ISSUE (DEVICE USED IN PATIENT) OBSERVED. DURING LEFT VENTRICLE (LV) MAPPING, THERE WAS POOR IRRIGATION. SINCE AN OCCLUSION ALERT FROM THE IRRIGATION PUMP WAS TRIGGERED, THE IRRIGATION FLOW WAS CHECKED. DUE TO OBSERVED FLOW ISSUES, THE OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY WAS REPLACED WITH A NEW ONE. AFTER THE REPLACEMENT, THE ISSUE WAS RESOLVED, AND THE PROCEDURE WAS CONTINUED. THE PROCEDURE WAS COMPLETED WITHOUT PATIENT'S CONSEQUENCE. ADDITIONAL INFORMATION WAS RECEIVED ON 09-OCT-2025. THE SUSPECTED DEVICE FOR THE REPORTED FLOW/IRRIGATION ISSUE WAS THE CATHETER. THE DEVICE WAS USED IN THE PATIENT. THE OCCLUSION ERROR WAS NOTED ON THE IRRIGATION PUMP. SINCE THE ISSUE WAS RELATED TO OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY, IT WAS NOT RELATED TO THE GENERATOR. ADDITIONAL INFORMATION WAS RECEIVED ON 19-OCT-2025. THE TERUFUSION INFUSION PUMP, TE-161S(TERUMO) WAS USED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23426271 ↗MalfunctionOct 29, 2025Entrapment of Device; Material Twisted/Bent; Entrapment of Device; Material Twisted/Bent
IT WAS REPORTED THAT A PATIENT UNDERWENT A SUPRAVENTRICULAR TACHYCARDIA ABLATION PROCEDURE WITH A OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY AND THE CATHETER WAS TANGLED WITH OTHER CATHETERS AND WHEN PULLING OUT THE OPTRELL¿ CATHETER IT WAS NOTED IT HAD A BENT SHAFT. IT WAS DIFFICULT TO REMOVE THE OPTRELL CATHETER FROM THE SHEATH. THERE WAS NO DAMAGE, LIFTED RINGS, OR SHARPENED RING NOTED ON THE CATHETER. THE CATHETER WAS REPLACED, AND THE PROBLEM WAS RESOLVED. THE CASE CONTINUED. NO PATIENT CONSEQUENCES WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23416446 ↗MalfunctionOct 15, 2025Entrapment of Device; Entrapment of Device
A PICTURE WAS RECEIVED FOR EVALUATION FOLLOWING JOHNSON & JOHNSON MEDTECH (J&J MEDTECH) PROCEDURES. ACCORDING TO THE PICTURE PROVIDED BY THE CUSTOMER, THE SPLINES OF THE OPTRELL CATHETER WERE OBSERVED TWISTED/SQUASHED. THIS CONDITION COULD BE RELATED TO THE HANDLING OF THE DEVICE DURING THE PROCEDURE, SINCE ACCORDING TO THE INFORMATION PROVIDED, WHEN THE LAST CATHETER WAS MOVED FROM THE VENA CAVA INFERIOR TO THE VENTRICLE, THE HIS CATHETER WAS BY ACCIDENT MOVED AND THE TIP WENT THROUGH THE OPTRELL SPLINES. NO EXTERNAL DAMAGES WERE OBSERVED ON THE ELECTRODES OF THE OPTRELL CATHETER. THE LOT NUMBER WAS NOT PROVIDED; THEREFORE, THE MANUFACTURING RECORD EVALUATION CANNOT BE PERFORMED. THE CUSTOMER COMPLAINT WAS CONFIRMED BASED ON THE PICTURE RECEIVED. THE DEVICE HAS NOT BEEN RETURNED FOR ANALYSIS AND A ROOT CAUSE IS UNABLE TO BE ASSIGNED BASED ON THE CURRENT EVIDENCE. IF THE DEVICE IS RECEIVED IN THE FUTURE, THE PRODUCT INVESTIGATION WILL BE PERFORMED AND UPDATED ACCORDINGLY, AND ANY ACTION WILL BE TAKEN IF NECESSARY. AS PART OF JOHNSON & JOHNSON MEDTECH'S QUALITY PROCESS, ALL DEVICES ARE MANUFACTURED, INSPECTED, AND RELEASED TO APPROVED SPECIFICATIONS.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23296675 ↗InjuryAug 4, 2025Failure to Sense; Patient Device Interaction Problem; Failure to Sense; Patient Device Interaction Problem
IT WAS REPORTED THAT A PATIENT UNDERWENT A CARDIAC ABLATION PROCEDURE WITH A OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY AND THE PATIENT EXPERIENCED CARDIAC TAMPONADE THAT REQUIRED MEDICATION. IT WAS REPORTED THAT THE OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY (OPTRELL)GAVE A SENSOR ERROR FOR 20 POLE A ON THE CARTO 3 SYSTEM. RECONNECTION AND CABLE REPLACEMENT DID NOT IMPROVE THE SITUATION. THEY INTENDED TO REPLACE THE OPTRELL WITH ANOTHER NEW ONE, HOWEVER, A CARDIAC TAMPONADE OCCURRED. THE PROCEDURE WAS INTERRUPTED, AND THE PATIENT WAS MANAGED WITH AN INTRAVENOUS DRIP AND IMPROVEMENT WAS OBSERVED WITH THE ADMINISTRATION OF VASOPRESSOR MEDICATIONS. THE PHYSICIAN'S JUDGMENT ON HEALTH HAZARD WAS THAT IT WAS NON-SERIOUS (MODERATE/MINOR). THERE WAS NO EXTENDED HOSPITALIZATION. NO CAUSAL RELATIONSHIP BETWEEN THE EVENT AND THE PRODUCT. THERE WERE NO ABNORMALITIES OBSERVED PRIOR TO OR DURING USE OF THE PRODUCT. NO ABLATION WAS PERFORMED. ADVERSE EVENT OCCURRED DURING THE MAPPING PHASE. ADDITIONAL INFORMATION RECEIVED INDICATING THE ENERGY DELIVERED WAS RADIOFREQUENCY (RF). THE PATIENT DID NOT REQUIRE CARDIAC SURGERY. THE SECOND OPTRELL CATHETER, QDOT MICRO AND SOUNDSTAR CATHETER
Patient problems: Cardiac Tamponade
MAUDE report 22710649 ↗InjuryAug 3, 2025Patient Device Interaction Problem; Patient Device Interaction Problem
IT WAS REPORTED THAT DURING A REDO- ATRIAL FIBRILLATION / ATRIAL FLUTTER ABLATION (AFIB/AFL) PROCEDURE WITH AN OPTRELL MAPPING CATHETER WITH TRUEREF TECHNOLOGY, THE PATIENT EXPERIENCED BLOOD PRESSURE DROP, PERICARDIAL EFFUSION WAS NOTED, TREATED WITH PERICARDIOCENTESIS WITH REMOVAL OF 718ML FLUID. THE CASE WAS ABORTED, BUT ATRIAL FIBRILLATION ABLATION WAS CONDUCTED PRIOR TO THE EVENT. IT WAS REPORTED THAT A PERICARDIAL EFFUSION WAS NOTICED DURING THE PROCEDURE. FOLLOWING THE ATRIAL FIBRILLATION ABLATION, THE PATIENT HAD GONE INTO EITHER ATRIAL TACHYCARDIA OR ATRIAL FLUTTER. THEN, WHILE MAPPING THE ATRIAL TACHYCARDIA OR ATRIAL FLUTTER USING AN OPTRELL CATHETER, THE PATIENT'S BLOOD PRESSURE DROPPED. A SOUNDSTAR CATHETER WAS USED TO CONFIRM THE PERICARDIAL EFFUSION WITH INTRACARDIAC ECHOCARDIOGRAPHY (ICE). THE MEDICAL INTERVENTION PROVIDED WAS A PERICARDIOCENTESIS AND 718 ML OF FLUID WAS DRAINED. THE PROCEDURE WAS ABORTED. THE LAST KNOWN PATIENT STATUS WAS STABLE. THE FOLLOWING BIOSENSE WEBSTER CATHETERS WERE USED DURING THE CASE: DECANAV CATHETER, OPTRELL CATHETER, SOUNDSTAR CATHETER, AND CARTO 3 SYSTEM. ALL CATHETERS ARE AVAILABLE FOR RETURN. THE CARTO 3 SYSTEM WAS USED FOR MAPPING
Patient problems: Cardiac Tamponade
MAUDE report 22696700 ↗
Other Biosense Webster Inc products
- THERMOCOOL SMARTTOUCH SF8 models · 6,238 reports · 1 recall
- VIZIGO3 models · 5,206 reports · 4 recalls
- QDOT MICRO7 models · 1,418 reports
- ThermoCool SmartTouch7 models · 1,163 reports
- PENTARAY NAV12 models · 842 reports · 4 recalls
- OCTARAY Mapping Catheter6 models · 407 reports
- CARTO VIZIGO2 models · 349 reports
- SOUNDSTAR6 models · 260 reports
Sources and updates
- Models: FDA GUDID, file dated Oct 13, 2026. Models are grouped by the brand name the manufacturer registered.
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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