FDA Adverse Event Malfunction Summary report: N

OPTICROSS? 6 HD

MDR report key: 21976562 · Received May 7, 2025

Report

Report Number
2124215-2025-28663
Event Type
Malfunction
Date Received
May 7, 2025
Date of Event
April 10, 2025
Report Date
July 3, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OBJ
UDI-DI
08714729960775
PMA / PMN Number
K173820
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

G4 - PREMARKET / 510(K) #: K213593.

Additional Manufacturer Narrative · 0

G4 - PREMARKET / 510(K) #: K213593.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CATHETER ISSUE OCCURRED. AN OPTICROSS 6 HD WAS ADVANCED FOR AN ULTRASOUND EXAMINATION OF THE TARGET LESION. DURING THE PROCEDURE, THE CATHETER GOT STUCK ON NON-BOSTON SCIENTIFIC WIRE AFTER STARTING AUTO-PULLBACK. THE CATHETER AND WIRE WERE PULLED OUT TO REMOVE THEM FROM THE BODY. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE METHOD. THE PATIENT IS STABLE AND THERE WERE NO PATIENT COMPLICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CATHETER ISSUE OCCURRED. AN OPTICROSS 6 HD WAS ADVANCED FOR AN ULTRASOUND EXAMINATION OF THE TARGET LESION. DURING THE PROCEDURE, THE CATHETER GOT STUCK ON NON-BOSTON SCIENTIFIC WIRE AFTER STARTING AUTO-PULLBACK. THE CATHETER AND WIRE WERE PULLED OUT TO REMOVE THEM FROM THE BODY. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE METHOD. THE PATIENT IS STABLE AND THERE WERE NO PATIENT COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1820555 OPTICROSS? 6 HD CATHETER, ULTRASOUND, INTRAVASCULAR OBJ BOSTON SCIENTIFIC CORPORATION H74939354080 0034945951 08714729960775

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown