FDA Adverse Event Malfunction Summary report: N

AVVIGO+ MULTI-MODALITY GUIDANCE SYSTEM

MDR report key: 20402894 · Received October 8, 2024

Report

Report Number
2124215-2024-62953
Event Type
Malfunction
Date Received
October 8, 2024
Date of Event
September 20, 2024
Report Date
December 20, 2024
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
DQK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D2B: PRO CODE (PRODUCT CODE): DQK, DSK, IYO, ITX.

Additional Manufacturer Narrative · 0

D2B: PRO CODE (PRODUCT CODE): DQK, DSK, IYO, ITX .

Description of Event or Problem · 0

THE PROCEDURE WAS CANCELLED. DURING INTRAVASCULAR ULTRASOUND (IVUS) OF A MILDLY CALCIFIED VESSEL, IMAGING ISSUES WERE EXPERIENCED WITH AN AVVIGO+ MULTI-MODALITY GUIDANCE SYSTEM AND OPTICROSS HD CATHETER. AN IMAGE FAILED TO APPEAR AND AN ERROR CODE DISPLAYED INDICATING A MOTOR DRIVE UNIT OVERLOAD ISSUE. THE DEVICE WAS RETRACTED WITH DIFFICULTY USING THE SLED AUTOMATED PULLBACK FEATURE AND THE CATHETER WAS FLUSHED. THE SAME ISSUE OCCURRED. UPON REMOVAL, THE DISTAL SHAFT OF THE CATHETER WAS KINKED. THE PROCEDURE WAS CANCELLED.

Description of Event or Problem · 0

THE PROCEDURE WAS CANCELLED. DURING INTRAVASCULAR ULTRASOUND (IVUS) OF A MILDLY CALCIFIED VESSEL, IMAGING ISSUES WERE EXPERIENCED WITH AN AVVIGO+ MULTI-MODALITY GUIDANCE SYSTEM AND OPTICROSS HD CATHETER. AN IMAGE FAILED TO APPEAR AND AN ERROR CODE DISPLAYED INDICATING A MOTOR DRIVE UNIT OVERLOAD ISSUE. THE DEVICE WAS RETRACTED WITH DIFFICULTY USING THE SLED AUTOMATED PULLBACK FEATURE AND THE CATHETER WAS FLUSHED. THE SAME ISSUE OCCURRED. UPON REMOVAL, THE DISTAL SHAFT OF THE CATHETER WAS KINKED. THE PROCEDURE WAS CANCELLED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
20183 AVVIGO+ MULTI-MODALITY GUIDANCE SYSTEM COMPUTER, DIAGNOSTIC, PROGRAMMABLE, COMPUTER, BLOOD-PRESSURE DQK BOSTON SCIENTIFIC CORPORATION 0104031808

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown