FDA Adverse Event Malfunction Summary report: N

DIREXION HI-FLO FATHOM-16 SYSTEM

MDR report key: 21375473 · Received February 13, 2025

Report

Report Number
2124215-2025-07829
Event Type
Malfunction
Date Received
February 13, 2025
Date of Event
January 10, 2025
Report Date
March 19, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
KRA
UDI-DI
08714729839712
PMA / PMN Number
K142259
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

G4 - ADDITIONAL PREMARKET / 510(K): K163701.

Additional Manufacturer Narrative · 0

G4 - PREMARKET / 510(K): K142259, K163701.

Description of Event or Problem · 0

IT WAS REPORTED THAT DEVICE FRACTURE OCCURRED. A DIREXION HI-FLO WAS SELECTED FOR USE IN A VESSEL OF THE LIVER FOR A TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION (TACE). DURING INSERTION, THE DEVICE WAS FRACTURED. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. NO COMPLICATIONS WERE REPORTED, AND THE PATIENT WAS STABLE POST-PROCEDURE.

Description of Event or Problem · 0

IT WAS REPORTED THAT DEVICE FRACTURE OCCURRED. A DIREXION HI-FLO WAS SELECTED FOR USE IN A VESSEL OF THE LIVER FOR A TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION (TACE). DURING INSERTION, THE DEVICE WAS FRACTURED. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. NO COMPLICATIONS WERE REPORTED, AND THE PATIENT WAS STABLE POST-PROCEDURE. IT WAS FURTHER REPORTED THAT THE DEVICE WAS FRACTURED AT THE TIP OF HUB, AND 3CM FROM THE TIP. THE INNER LUMEN WAS STILL INTACT, AND ONLY THE NICKEL SHAFT WAS FRACTURED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
867765 DIREXION HI-FLO FATHOM-16 SYSTEM CATHETER, CONTINUOUS FLUSH KRA BOSTON SCIENTIFIC CORPORATION M001195740 0034932875 08714729839712

Patients

Seq Age Sex Outcome Treatment
1 64 YR Male