FDA Adverse Event Injury Summary report: N

GUIDESTAR¿ STEERABLE GUIDING SHEATH

MDR report key: 23594039 · Received November 19, 2025

Report

Report Number
1035166-2025-00055
Event Type
Injury
Date Received
November 19, 2025
Date of Event
October 21, 2025
Report Date
November 19, 2025
Manufacturer
OSCOR INC.
Product Code
DYB
UDI-DI
00885672010270
PMA / PMN Number
K151951
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

CONCLUSION NOT YET AVAILABLE, EVALUATION IN PROCESS. A FOLLOW-UP WILL BE SUBMITTED AS SOON AS THE INVESTIGATION IS COMPLETE. OSCOR INC. IS SUBMITTING THE ABOVE REPORT TO COMPLY WITH 21 CFR PART 803, THE MEDICAL DEVICE REPORTING REGULATION. THE REPORT IS BASED UPON INFORMATION OBTAINED BY OSCOR INC. WHICH THE COMPANY MAY NOT HAVE BEEN ABLE TO INVESTIGATE OR VERIFY PRIOR TO THE DATE THE REPORT WAS REQUIRED BY FDA. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION THAT THE DEVICE, OSCOR INC., OR ITS EMPLOYEES, CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THIS REPORT. NOR DOES THIS REPORT REFLECT A CONCLUSION BY FDA, OSCOR INC., OR ITS EMPLOYEES, THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE DEVICE, OSCOR INC., OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THIS REPORT.

Description of Event or Problem · 0

CUSTOMER REPORTED THIS EVENT IS "NOT RELATED" TO THE STUDY CATHETER (GUIDESTAR IS NOT PART OF A DEVICE DEFICIENCY). PATIENT HOSPITALIZED, ADMISSION DATE (B)(6) 2025 AND DISCHARGE DATE (B)(6) 2025. ADVERSE EFFECT EXPECTED, ANTICIPATED. PATIENTS' OUTCOME RECOVERED, RESOLVED, END DATE (B)(6) 2025. NO REPEAT ABLATION, NO SURGERY, LEAVE STITCH IN SITU, MANUAL PRESSURE APPLIED, CONTINUE OBSERVATION. FOR THIS PARTICULAR EVENT, IT IS AN EXPECTED SAE AND UNRELATED TO A DEVICE DEFICIENCY. THERE WAS NO INTERVENTION, NO MEDICATION AND IS CURRENTLY RESOLVED. SUBMITTED FOR ADMINISTRATIVE PURPOSES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2883055 GUIDESTAR¿ STEERABLE GUIDING SHEATH INTRODUCER, CATHETER DYB OSCOR INC. D-1433-01-SI PQOC9228875 00885672010270

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization