FDA Adverse Event Malfunction Summary report: N

DIREXION? HI-FLO?

MDR report key: 22778605 · Received August 11, 2025

Report

Report Number
2124215-2025-55384
Event Type
Malfunction
Date Received
August 11, 2025
Date of Event
July 10, 2025
Report Date
December 17, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
KRA
UDI-DI
08714729839576
PMA / PMN Number
K142259
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H6 - DEVICE CODES: UPDATED FROM DETACHMENT OF DEVICE OR DEVICE COMPONENT TO MATERIAL INTEGRITY PROBLEM. E1 - INITIAL REPORTER ADDRESS 1: (B)(6). E1 - INITIAL REPORTER PHONE: (B)(6). G4 - PREMARKET / 510(K) #: K142259, K163701.

Additional Manufacturer Narrative · 0

(B)(6). G4 - PREMARKET / 510(K) #: K142259, K163701. DEVICE EVALUATED BY MFR: THE DIREXION MICROCATHETER WAS RETURNED TO OUR POST MARKET QUALITY ASSURANCE LABORATORY. DURING VISUAL INSPECTION IT WAS FOUND THAT THE CATHETER WAS SEPARATED AT THE HUB. INSPECTION OF THE REMAINDER OF THE DEVICE PRESENTED NO OTHER DAMAGE OR IRREGULARITIES. THE SITE PROVIDED A PHOTO. THE PHOTO SUBMITTED REVEALED A COMPLETE SEPARATION OF THE SHAFT FROM THE HUB.

Additional Manufacturer Narrative · 0

(B)(6). G4 - PREMARKET / 510(K) #: K142259, K163701.

Additional Manufacturer Narrative · 0

E1 - INITIAL REPORTER ADDRESS 1: (B)(6). E1 - INITIAL REPORTER PHONE: (B)(6). G4 - PREMARKET / 510(K) #: K142259, K163701. DEVICE EVALUATED BY MFR: THE DIREXION MICROCATHETER WAS RETURNED TO OUR POST MARKET QUALITY ASSURANCE LABORATORY. DURING VISUAL INSPECTION IT WAS FOUND THAT THE CATHETER WAS SEPARATED AT THE HUB. INSPECTION OF THE REMAINDER OF THE DEVICE PRESENTED NO OTHER DAMAGE OR IRREGULARITIES. THE SITE PROVIDED A PHOTO. THE PHOTO SUBMITTED REVEALED A COMPLETE SEPARATION OF THE SHAFT FROM THE HUB.

Description of Event or Problem · 0

IT WAS REPORTED THAT TIP FRACTURE OCCURRED. A DIREXION HI-FLO MICROCATHETER WAS SELECTED FOR TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION (TACE). DURING THE PROCEDURE, IT WAS NOTED THAT THE ENTIRE TIP WAS FRACTURED. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT TIP FRACTURE OCCURRED. A DIREXION HI-FLO MICROCATHETER WAS SELECTED FOR TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION (TACE). DURING THE PROCEDURE, IT WAS NOTED THAT THE ENTIRE TIP WAS FRACTURED. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT TIP FRACTURE OCCURRED. A DIREXION HI-FLO MICROCATHETER WAS SELECTED FOR TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION (TACE). DURING THE PROCEDURE, IT WAS NOTED THAT THE ENTIRE TIP WAS FRACTURED. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT TIP FRACTURE OCCURRED. A DIREXION HI-FLO MICROCATHETER WAS SELECTED FOR TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION (TACE). DURING THE PROCEDURE, IT WAS NOTED THAT THE ENTIRE TIP WAS FRACTURED. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2007007 DIREXION? HI-FLO? CATHETER, CONTINUOUS FLUSH KRA BOSTON SCIENTIFIC CORPORATION M001195500 0036176666 08714729839576

Patients

Seq Age Sex Outcome Treatment
1 71 YR Male