FDA Adverse Event Malfunction Summary report: N

OPTICROSS? 6 HD

MDR report key: 22487491 · Received July 11, 2025

Report

Report Number
2124215-2025-45061
Event Type
Malfunction
Date Received
July 11, 2025
Date of Event
June 1, 2025
Report Date
August 29, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OBJ
UDI-DI
08714729960775
PMA / PMN Number
K173820
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3: DATE OF EVENT: THE EVENT DATE WAS NOT REPORTED. THE FIRST DATE OF THE MONTH OF THE AWARE DATE WAS ENTERED AS AN ESTIMATE. G4: PREMARKET / 510(K) # K173820, K213593.

Additional Manufacturer Narrative · 0

B3: DATE OF EVENT: THE EVENT DATE WAS NOT REPORTED. THE FIRST DATE OF THE MONTH OF THE AWARE DATE WAS ENTERED AS AN ESTIMATE. G4: PREMARKET / 510(K) # K173820, K213593. THE DEVICE WAS RETURNED FOR ANALYSIS. VISUAL AND MICROSCOPIC INSPECTION REVEALED THAT THE TELESCOPE, SHEATH, AND IMAGING WINDOW WERE KINKED. ALSO, THE GUIDEWIRE WAS FOUND TO BE ENTANGLED WITH THE IMAGING WINDOW.

Description of Event or Problem · 0

IT WAS REPORTED THAT CATHETER ISSUE OCCURRED. AN OPTICROSS 6 HD IMAGING CATHETER WAS SELECTED FOR THE ULTRASOUND EXAMINATION OF THE TARGET LESION. DURING THE PROCEDURE, THE INTRAVASCULAR ULTRASOUND (IVUS) CATHETER WRAPPED AROUND THE UNKNOWN WIRE, MAKING IT IMPOSSIBLE TO REMOVE THE IVUS CATHETER WITHOUT ALSO REMOVING THE INTERVENTIONAL WIRE. NO PATIENT COMPLICATIONS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT CATHETER ISSUE OCCURRED. AN OPTICROSS 6 HD IMAGING CATHETER WAS SELECTED FOR THE ULTRASOUND EXAMINATION OF THE TARGET LESION. DURING THE PROCEDURE, THE INTRAVASCULAR ULTRASOUND (IVUS) CATHETER WRAPPED AROUND THE UNKNOWN WIRE, MAKING IT IMPOSSIBLE TO REMOVE THE IVUS CATHETER WITHOUT ALSO REMOVING THE INTERVENTIONAL WIRE. NO PATIENT COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
838907 OPTICROSS? 6 HD CATHETER, ULTRASOUND, INTRAVASCULAR OBJ BOSTON SCIENTIFIC CORPORATION H74939354080 0035769648 08714729960775

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown