FDA Adverse Event Malfunction Summary report: N

OPTICROSS 18

MDR report key: 20729481 · Received November 19, 2024

Report

Report Number
2124215-2024-70727
Event Type
Malfunction
Date Received
November 19, 2024
Date of Event
October 1, 2024
Report Date
December 18, 2024
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OBJ
PMA / PMN Number
K160514
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3: DATE OF EVENT: DATE OF EVENT WAS APPROXIMATED TO 10/01/2024 AS THE EXACT EVENT DATE WAS NOT REPORTED. G4: ADDITIONAL PREMARKET/510(K): K222568. THE DEVICE WAS NOT RETURNED FOR EVALUATION. HOWEVER, AN ANALYSIS WAS CONCLUDED BASED ON THE RECEIVED PHOTO OF THE COMPLAINT DEVICE. THE MEDIA SHOWS THE IMAGING WINDOW TWISTED AND KINKED, AND THE IMAGING CORE WAS OBSERVED TWISTED.

Additional Manufacturer Narrative · 0

B3 - DATE OF EVENT: DATE OF EVENT WAS APPROXIMATED TO 10/01/2024 AS THE EXACT EVENT DATE WAS NOT REPORTED. G4 - ADDITIONAL PRE-MARKET / 510(K): K222568.

Description of Event or Problem · 0

IT WAS REPORTED THAT CATHETER ISSUE OCCURRED. AN OPTICROSS 18 WAS SELECTED FOR USE. DURING THE PROCEDURE, IT WAS NOTED THAT THE CATHETER GETS ALL TWIRLED UP AND CANNOT BE USED AGAIN. KINK WAS ALSO NOTED. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE DEVICE. NO PATIENT COMPLICATIONS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT CATHETER ISSUE OCCURRED. AN OPTICROSS 18 WAS SELECTED FOR USE. DURING THE PROCEDURE, IT WAS NOTED THAT THE CATHETER GETS ALL TWIRLED UP AND CANNOT BE USED AGAIN. KINK WAS ALSO NOTED. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE DEVICE. NO PATIENT COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2070776 OPTICROSS 18 CATHETER, ULTRASOUND, INTRAVASCULAR OBJ BOSTON SCIENTIFIC CORPORATION H7493932800180

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown