FDA Adverse Event Malfunction Summary report: N

OPTICROSS? 6 HD

MDR report key: 22566172 · Received July 22, 2025

Report

Report Number
2124215-2025-48109
Event Type
Malfunction
Date Received
July 22, 2025
Date of Event
June 1, 2025
Report Date
August 20, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OBJ
UDI-DI
08714729960775
PMA / PMN Number
K173820
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
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. THE DEVICE WAS RETURNED FOR ANALYSIS. VISUAL INSPECTION REVEALED THAT THE TELESCOPE WAS KINKED, AND THE IMAGING WINDOW WAS TWISTED. A BROKEN IMAGING CORE (IC), DRIVE, AND COAXIAL CABLE BEGAN 3.3 CM FROM THE DISTAL END OF THE CONNECTOR SHAFT. THE GUIDEWIRE EXIT PORT, AND THE DISTAL SECTION OF THE TIP WERE IN GOOD CONDITION. A TEST GUIDEWIRE WAS INSERTED, AND THERE WAS NO INDICATION OF RESISTANCE WHEN TRACKING THE GUIDEWIRE INTO THE CATHETER. THE UNIT WAS CUT TO INSPECT THE OTHER END OF THE BROKEN IC.

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.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CATHETER ISSUE OCCURRED. THE 90% STENOSIS WAS LOCATED IN A MILDLY TORTUOUS AND MODERATELY CALCIFIED VESSEL. THE OPTICROSS 6 HD IMAGING CATHETER WAS SELECTED FOR POST-STENT ULTRASOUND EXAMINATION OF THE TARGET LESION. DURING THE PROCEDURE, NO IMAGE WAS SHOWN. UPON ASSESSMENT, THE CATHETER APPEARED TWISTED. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE DEVICE. NO PATIENT COMPLICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CATHETER ISSUE OCCURRED. THE 90% STENOSIS WAS LOCATED IN A MILDLY TORTUOUS AND MODERATELY CALCIFIED VESSEL. THE OPTICROSS 6 HD IMAGING CATHETER WAS SELECTED FOR POST-STENT ULTRASOUND EXAMINATION OF THE TARGET LESION. DURING THE PROCEDURE, NO IMAGE WAS SHOWN. UPON ASSESSMENT, THE CATHETER APPEARED TWISTED. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE DEVICE. NO PATIENT COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
803335 OPTICROSS? 6 HD CATHETER, ULTRASOUND, INTRAVASCULAR OBJ BOSTON SCIENTIFIC CORPORATION H74939354080 0035399117 08714729960775

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown