FDA Adverse Event
Malfunction
Summary report: N
OPTICROSS? HD
MDR report key: 22790451
·
Received August 12, 2025
Report
- Report Number
- 2124215-2025-56085
- Event Type
- Malfunction
- Date Received
- August 12, 2025
- Date of Event
- July 1, 2025
- Report Date
- August 12, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- OBJ
- UDI-DI
- 08714729960737
- PMA / PMN Number
- K173284
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
G4: PREMARKET / 510(K): K213593.
Description of Event or Problem · 0
IT WAS REPORTED THAT A DEVICE ISSUE OCCURRED RESULTING IN AN ABORTED PROCEDURE. AN OPTICROSS HD IMAGING CATHETER WAS SELECTED FOR USE IN THE ULTRASOUND EXAMINATION. DURING THE PREPARATION, THE CATHETER COULD NOT SHOW THE IMAGE, HOWEVER THE PROCEDURE WAS CANCELLED. THERE WERE NO PATIENT COMPLICATIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 79532 | OPTICROSS? HD | CATHETER, ULTRASOUND, INTRAVASCULAR | OBJ | BOSTON SCIENTIFIC CORPORATION | H74939352040 | 0036586095 | 08714729960737 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |