FDA Adverse Event Malfunction Summary report: N

OPTICROSS 18

MDR report key: 23067634 · Received September 16, 2025

Report

Report Number
2124215-2025-63103
Event Type
Malfunction
Date Received
September 16, 2025
Date of Event
August 20, 2025
Report Date
October 23, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
OBJ
UDI-DI
08714729904366
PMA / PMN Number
K160514
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, 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: PREMARKET / 510(K) #: K222568.

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: PREMARKET / 510(K) #: K222568. THE DEVICE WAS RETURNED FOR ANALYSIS. VISUAL AND MICROSCOPIC INSPECTION REVEALED THE TIP WAS STRETCHED AND DETACHED FROM THE IMAGING WINDOW.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CATHETER ISSUE OCCURRED. THE 80% STENOSED TARGET LESION WAS LOCATED IN THE MESENTERIC ARTERY. AN OPTICROSS 18 IMAGING CATHETER WAS ADVANCED FOR AN INTRAVASCULAR ULTRASOUND (IVUS) EXAMINATION OF THE TARGET LESION. DURING THE PROCEDURE, THE DEVICE FRACTURED IN THE CELIAC ARTERY VIA THE FEMORAL APPROACH. ALL COMPONENTS REMAINED ON THE WIRE AND WERE SAFELY RETRIEVED FROM THE ARTERY AS A SINGLE UNIT. THE PROCEDURE COMPLETED USING AN ALTERNATE METHOD. THERE WERE NO PATIENT COMPLICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT A CATHETER ISSUE OCCURRED. THE 80% STENOSED TARGET LESION WAS LOCATED IN MESENTERIC ARTERY. AN OPTICROSS 18 IMAGING CATHETER WAS ADVANCED FOR AN INTRAVASCULAR ULTRASOUND (IVUS) EXAMINATION OF THE TARGET LESION. DURING THE PROCEDURE, THE DEVICE FRACTURED IN THE CELIAC ARTERY VIA THE FEMORAL APPROACH. ALL COMPONENTS REMAINED ON THE WIRE AND WERE SAFELY RETRIEVED FROM THE ARTERY AS A SINGLE UNIT. THE PROCEDURE COMPLETED USING AN ALTERNATE METHOD. THERE WERE NO PATIENT COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
269975 OPTICROSS 18 CATHETER, ULTRASOUND, INTRAVASCULAR OBJ BOSTON SCIENTIFIC CORPORATION H7493932800180 0036559770 08714729904366

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown