FDA Adverse Event
Malfunction
Summary report: N
IVUS
MDR report key: 22667160
·
Received July 30, 2025
Report
- Report Number
- MW5173542
- Event Type
- Malfunction
- Date Received
- July 30, 2025
- Date of Event
- July 24, 2025
- Report Date
- July 24, 2025
- Manufacturer
- PHILIPS ULTRASOUND LLC
- Product Code
- OBJ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MO, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
UNABLE TO ADVANCE IVUS CATHETER THROUGH 5 FRENCH SHEATH OVER COMMAND ES (EXTRA STIFF) WIRE WITHOUT RESISTANCE. SECOND IVUS DROPPED AND ABLE TO CROSS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 567925 | IVUS | CATHETER, ULTRASOUND, INTRAVASCULAR | OBJ | PHILIPS ULTRASOUND LLC | 0303265573 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 45 YR | Female |