FDA Adverse Event Malfunction Summary report: N

OPTICROSS? HD

MDR report key: 22569131 · Received July 22, 2025

Report

Report Number
2124215-2025-49245
Event Type
Malfunction
Date Received
July 22, 2025
Date of Event
June 2, 2025
Report Date
July 22, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OBJ
UDI-DI
08714729960737
PMA / PMN Number
K173284
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ND, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

GOOD FAITH EFFORT ATTEMPTS ARE BEING MADE TO TRY AND RETRIEVE ADDITIONAL DETAILS REGARDING THE REPORTED EVENT, BUT FURTHER INFORMATION HAS NOT BEEN OBTAINED. G4 PMA/510(K): K173284, K213593.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CATHETER ISSUE OCCURRED. THE OPTICROSS HD IMAGING CATHETER WAS ADVANCED FOR ULTRASOUND EXAMINATION OF THE TARGET LESION. DURING PULLBACK, THE CATHETER BECAME TANGLED WITH THE GUIDEWIRE. THE PROCEDURE WAS COMPLETED USING ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1712771 OPTICROSS? HD CATHETER, ULTRASOUND, INTRAVASCULAR OBJ BOSTON SCIENTIFIC CORPORATION H74939352040 0035787205 08714729960737

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown