FDA Adverse Event Malfunction Summary report: N

OPTICROSS? 6 HD

MDR report key: 20916299 · Received December 12, 2024

Report

Report Number
2124215-2024-78368
Event Type
Malfunction
Date Received
December 12, 2024
Date of Event
December 5, 2024
Report Date
April 14, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OBJ
PMA / PMN Number
K173820
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PMA 510(K): K173820, K213593. THE DEVICE WAS NOT RETURNED FOR ANALYSIS; THEREFORE, A TECHNICAL ANALYSIS COULD NOT BE PERFORMED. HOWEVER, MEDIA PROVIDED BY THE CUSTOMER WAS REVIEWED AND FOUND TO SHOW EVIDENCE OF THE IMAGING CORE KINKED AND TWISTED AND IMAGING WINDOW, TWISTED ISSUES.

Additional Manufacturer Narrative · 0

G4 PMA 510(K): K173820, K213593.

Additional Manufacturer Narrative · 0

THE DEVICE WAS RETURNED FOR ANALYSIS. VISUAL INSPECTION REVEALED THAT THE IMAGING WINDOW AND DRIVE CABLE WERE TWISTED. MICROSCOPE INSPECTION CONFIRMED THE SAME FINDINGS AND ALSO SHOWED THAT THE GUIDEWIRE EXIT PORT WAS LIFTED AND THE DISTAL SECTION OF THE TIP WAS IN GOOD CONDITION. AN IMPEDANCE TEST INDICATED AN ELECTRICAL OPEN AT THE DISTAL END OF THE CATHETER, BETWEEN 10-20 CM FROM THE DISTAL HOUSING. MEDIA RETURNED BY THE CUSTOMER WAS ALSO REVIEWED AND SHOWED THE IMAGING WINDOW AND DRIVE CABLE WERE TWISTED. G4 PMA 510(K): K173820, K213593.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CATHETER ISSUE OCCURRED. THE STENOSED TARGET LESION WAS LOCATED IN THE MILDLY CALCIFIED DISTAL RIGHT CORONARY ARTERY. THE OPTICROSS HD IMAGING CATHETER WAS ADVANCED OVER A NON-BOSTON SCIENTIFIC GUIDEWIRE FOR INTRAVASCULAR ULTRASOUND (IVUS) EXAMINATION OF THE TARGET LESION. DURING INSERTION, AN IMAGING ISSUE OCCURRED, AND WHITE RINGS/DISTORTED IMAGES WERE DISPLAYED ON THE IMAGING SCREEN. IT WAS FOUND THAT THE IVUS CATHETER WAS STUCK ON THE GUIDEWIRE, AND THE PHYSICIAN SUCCESSFULLY REMOVED THE GUIDE CATHETER, GUIDEWIRE, AND OPTICROSS CATHETER TOGETHER. THE OPTICROSS WAS ALSO NOTED TO BE KINKED 10-20 CM FROM THE TIP AND FRACTURED AT THE TELESCOPE. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CATHETER ISSUE OCCURRED. THE STENOSED TARGET LESION WAS LOCATED IN THE MILDLY CALCIFIED DISTAL RIGHT CORONARY ARTERY. THE OPTICROSS HD IMAGING CATHETER WAS ADVANCED OVER A NON-BOSTON SCIENTIFIC GUIDEWIRE FOR INTRAVASCULAR ULTRASOUND (IVUS) EXAMINATION OF THE TARGET LESION. DURING INSERTION, AN IMAGING ISSUE OCCURRED, AND WHITE RINGS/DISTORTED IMAGES WERE DISPLAYED ON THE IMAGING SCREEN. IT WAS FOUND THAT THE IVUS CATHETER WAS STUCK ON THE GUIDEWIRE, AND THE PHYSICIAN SUCCESSFULLY REMOVED THE GUIDE CATHETER, GUIDEWIRE, AND OPTICROSS CATHETER TOGETHER. THE OPTICROSS WAS ALSO NOTED TO BE KINKED 10-20 CM FROM THE TIP AND FRACTURED AT THE TELESCOPE. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CATHETER ISSUE OCCURRED. THE STENOSED TARGET LESION WAS LOCATED IN THE MILDLY CALCIFIED DISTAL RIGHT CORONARY ARTERY. THE OPTICROSS HD IMAGING CATHETER WAS ADVANCED OVER A NON-BOSTON SCIENTIFIC GUIDEWIRE FOR INTRAVASCULAR ULTRASOUND (IVUS) EXAMINATION OF THE TARGET LESION. DURING INSERTION, AN IMAGING ISSUE OCCURRED, AND WHITE RINGS/DISTORTED IMAGES WERE DISPLAYED ON THE IMAGING SCREEN. IT WAS FOUND THAT THE IVUS CATHETER WAS STUCK ON THE GUIDEWIRE, AND THE PHYSICIAN SUCCESSFULLY REMOVED THE GUIDE CATHETER, GUIDEWIRE, AND OPTICROSS CATHETER TOGETHER. THE OPTICROSS WAS ALSO NOTED TO BE KINKED 10-20 CM FROM THE TIP AND FRACTURED AT THE TELESCOPE. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2062279 OPTICROSS? 6 HD CATHETER, ULTRASOUND, INTRAVASCULAR OBJ BOSTON SCIENTIFIC CORPORATION H74939354080 0034912009

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown .014 TERUMO RUNTHROUGH GUIDEWIRE| .014 TERUMO RUNTHROUGH GUIDEWIRE| .014 TERUMO RUNTHROUGH GUIDEWIRE| 7F CORDIS AL.75 GUIDE CATHETER| 7F CORDIS AL.75 GUIDE CATHETER| 7F CORDIS AL.75 GUIDE CATHETER