FDA Adverse Event
Malfunction
Summary report: N
OPTICROSS 18
MDR report key: 23280442
·
Received October 15, 2025
Report
- Report Number
- 2124215-2025-70313
- Event Type
- Malfunction
- Date Received
- October 15, 2025
- Date of Event
- September 15, 2025
- Report Date
- October 13, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- OBJ
- UDI-DI
- 08714729904366
- PMA / PMN Number
- K160514
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MD, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
G4: PREMARKET / 510(K) # K160514, K222568
Description of Event or Problem · 0
IT WAS REPORTED THAT A CATHETER ISSUE OCCURRED. THE 90% OR MORE STENOSED TARGET LESION WAS LOCATED IN A NON-TORTUOUS, SEVERELY CALCIFIED TIBIAL ARTERY. AN OPTICROSS 18 IMAGING CATHETER WAS ADVANCED OVER A V18 CONTROL WIRE. NO IMAGE APPEARED WHEN IMAGING WAS TURNED ON DURING PULLBACK AND IT WAS NOTED THAT THE CATHETER WAS WRAPPED ON ITSELF. THE DEVICE WAS REMOVED AND EVALUATED AT WHICH TIME SPIRAL COILING OF THE TIP OF THE CATHETER WAS NOTICED. THE PROCEDURE WAS COMPLETED USING ANOTHER CATHETER. THERE WERE NO PATIENT COMPLICATIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 174937 | OPTICROSS 18 | CATHETER, ULTRASOUND, INTRAVASCULAR | OBJ | BOSTON SCIENTIFIC CORPORATION | H7493932800180 | 0036868131 | 08714729904366 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 81 YR | Male | V-18? CONTROLWIRE? GUIDEWIRE |