FDA Adverse Event Malfunction Summary report: N

FFR LINK

MDR report key: 21808571 · Received April 9, 2025

Report

Report Number
2124215-2025-22102
Event Type
Malfunction
Date Received
April 9, 2025
Date of Event
March 25, 2025
Report Date
April 29, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
DQK
UDI-DI
08714729939603
PMA / PMN Number
K151613
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE RETURNED PRODUCT CONSISTED OF THE FFR LINK. A VISUAL INSPECTION OF THE DEVICE REVEALED IT WAS IN GOOD CONDITION. WHEN THE DEVICE WAS PUT THROUGH FUNCTIONAL TESTING, IT DID NOT FAIL ANY OF THE STEPS. THE LAB WAS NOT ABLE TO CONFIRM THE REPORTED EVENTS, AS THE INVESTIGATION REVEALED NO DAMAGES OR DEFICIENCIES.

Additional Manufacturer Narrative · 0

E1 INITIAL REPORTER ADDRESS: (B)(6). THE RETURNED PRODUCT CONSISTED OF THE FFR LINK. A VISUAL INSPECTION OF THE DEVICE REVEALED IT WAS IN GOOD CONDITION. WHEN THE DEVICE WAS PUT THROUGH FUNCTIONAL TESTING, IT DID NOT FAIL ANY OF THE STEPS. THE LAB WAS NOT ABLE TO CONFIRM THE REPORTED EVENTS, AS THE INVESTIGATION REVEALED NO DAMAGES OR DEFICIENCIES.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PROCEDURE WAS CANCELLED. AN FFR LINK WAS SELECTED FOR EXAMINATION OF THE TARGET LESION. DURING USE, THE DEVICE EXPERIENCED AN ERROR AND WAS UNABLE TO SEND WAVEFORMS. BECAUSE OF THIS, THE PROCEDURE WAS NOT ABLE TO BE COMPLETED. THERE WERE NO PATIENT COMPLICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PROCEDURE WAS CANCELLED. AN FFR LINK WAS SELECTED FOR EXAMINATION OF THE TARGET LESION. DURING USE, THE DEVICE EXPERIENCED AN ERROR AND WAS UNABLE TO SEND WAVEFORMS. BECAUSE OF THIS, THE PROCEDURE WAS NOT ABLE TO BE COMPLETED. THERE WERE NO PATIENT COMPLICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PROCEDURE WAS CANCELLED. AN FFR LINK WAS SELECTED FOR EXAMINATION OF THE TARGET LESION. DURING USE, THE DEVICE EXPERIENCED AN ERROR AND WAS UNABLE TO SEND WAVEFORMS. BECAUSE OF THIS, THE PROCEDURE WAS NOT ABLE TO BE COMPLETED. THERE WERE NO PATIENT COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
624524 FFR LINK PROGRAMMABLE DIAGNOSTIC COMPUTER, BLOOD PRESSURE COMPUTER DQK BOSTON SCIENTIFIC CORPORATION H749555100R0 SPM04209 08714729939603

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown