FDA Adverse Event Malfunction Summary report: N

MAMBA? FLEX

MDR report key: 23027422 · Received September 11, 2025

Report

Report Number
2124215-2025-63934
Event Type
Malfunction
Date Received
September 11, 2025
Date of Event
August 18, 2025
Report Date
October 20, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
DQY
UDI-DI
08714729940289
PMA / PMN Number
K171452
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

G4: PREMARKET / 510(K) #: K190401. DEVICE EVALUATED BY MANUFACTURER: THE RETURNED PRODUCT CONSISTED OF THE MAMBA MICROCATHETER. VISUAL AND MICROSCOPIC INSPECTION REVEALED NO SIGNS OF DAMAGE OR IRREGULARITIES ON THE DEVICE. THE WIRE USED IN THE PROCEDURE WAS NOT RETURNED FOR ANALYSIS, SO A .014" TEST GUIDEWIRE WAS USED FOR WIRE INSERTION TESTING. THE TEST WIRE WAS INSERTED INTO THE TIP END OF THE MAMBA AND WAS ADVANCED THROUGH THE DEVICE AND THEN REMOVED FROM THE MAMBA WITH NO RESISTANCE OR ISSUES ADVANCING OR WITHDRAWING. PRODUCT ANALYSIS DID NOT CONFIRM THE REPORTED EVENT, AS THE WIRE WAS ABLE TO BE INSERTED AND REMOVED WITHOUT RESISTANCE OR DIFFICULTIES. HOWEVER, THE CLINICAL CIRCUMSTANCES COULD NOT BE REPLICATED. INSPECTION OF THE REMAINDER OF THE DEVICE, REVEALED NO OTHER DAMAGE OR IRREGULARITIES.

Additional Manufacturer Narrative · 0

G4: PREMARKET / 510(K) #: K190401.

Description of Event or Problem · 0

IT REPORTED THAT REMOVAL DIFFICULTIES OCCURRED. THE PATIENT WITH STABLE CORONARY ARTERY DISEASE (CAD) UNDERWENT PERCUTANEOUS CORONARY INTERVENTION (PCI). THE TARGET LESION WAS A CHRONIC TOTAL OCCLUSION (CTO) LOCATED IN THE CIRCUMFLEX ARTERY (CX), WHICH WAS MODERATELY TORTUOUS AND MILDLY CALCIFIED. A 135CM MAMBA FLEX MICROCATHETER WAS SELECTED FOR USE. A NON-BSC GUIDEWIRE WAS USED TO DELIVER THE MAMBA, THEN EXCHANGED FOR ANOTHER NON-BSC WIRE THAT SUCCESSFULLY CROSSED THE LESION. THE MAMBA WAS ADVANCED INTO THE DISTAL CX, AFTER WHICH THE SECOND WIRE WAS REMOVED, AND THE ORIGINAL GUIDEWIRE REINTRODUCED. DURING SUBSEQUENT REMOVAL OF THE MAMBA CATHETER, SIGNIFICANT RESISTANCE WAS ENCOUNTERED WHILE ATTEMPTING TO RETRACT THE NON-BSC GUIDEWIRE. THE NON-BSC GUIDEWIRE BECAME FROZEN IN THE MAMBA CATHETER. AFTER CONSIDERABLE EFFORT, THE WIRE WAS SUCCESSFULLY REMOVED. DESPITE INCREASING RESISTANCE DURING MAMBA CATHETER REMOVAL, THE NON-BSC GUIDEWIRE WAS WIPED DOWN MULTIPLE TIMES IN AN EFFORT TO FACILITATE RETRACTION. FORTUNATELY, THE MAMBA WAS SUCCESSFULLY REMOVED WITHOUT COMPLICATION AND THE PROCEDURE SUCCESSFULLY COMPLETED WITH OTHER DEVICE. NO PATIENT COMPLICATIONS WERE REPORTED.

Description of Event or Problem · 0

IT REPORTED THAT REMOVAL DIFFICULTIES OCCURRED. THE PATIENT WITH STABLE CORONARY ARTERY DISEASE (CAD) UNDERWENT PERCUTANEOUS CORONARY INTERVENTION (PCI). THE TARGET LESION WAS A CHRONIC TOTAL OCCLUSION (CTO) LOCATED IN THE CIRCUMFLEX ARTERY (CX), WHICH WAS MODERATELY TORTUOUS AND MILDLY CALCIFIED. A 135CM MAMBA FLEX MICROCATHETER WAS SELECTED FOR USE. A NON-BSC GUIDEWIRE WAS USED TO DELIVER THE MAMBA, THEN EXCHANGED FOR ANOTHER NON-BSC WIRE THAT SUCCESSFULLY CROSSED THE LESION. THE MAMBA WAS ADVANCED INTO THE DISTAL CX, AFTER WHICH THE SECOND WIRE WAS REMOVED, AND THE ORIGINAL GUIDEWIRE REINTRODUCED. DURING SUBSEQUENT REMOVAL OF THE MAMBA CATHETER, SIGNIFICANT RESISTANCE WAS ENCOUNTERED WHILE ATTEMPTING TO RETRACT THE NON-BSC GUIDEWIRE. THE NON-BSC GUIDEWIRE BECAME FROZEN IN THE MAMBA CATHETER. AFTER CONSIDERABLE EFFORT, THE WIRE WAS SUCCESSFULLY REMOVED. DESPITE INCREASING RESISTANCE DURING MAMBA CATHETER REMOVAL, THE NON-BSC GUIDEWIRE WAS WIPED DOWN MULTIPLE TIMES IN AN EFFORT TO FACILITATE RETRACTION. FORTUNATELY, THE MAMBA WAS SUCCESSFULLY REMOVED WITHOUT COMPLICATION AND THE PROCEDURE SUCCESSFULLY COMPLETED WITH OTHER DEVICE. NO PATIENT COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2330342 MAMBA? FLEX CATHETER, PERCUTANEOUS DQY BOSTON SCIENTIFIC CORPORATION H7493928713540 0036290137 08714729940289

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown