FDA Adverse Event
Malfunction
Summary report: N
AVVIGO?+
MDR report key: 23611477
·
Received November 20, 2025
Report
- Report Number
- 2124215-2025-85180
- Event Type
- Malfunction
- Date Received
- November 20, 2025
- Date of Event
- October 1, 2025
- Report Date
- November 20, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- DQK
- UDI-DI
- 00191506033163
- PMA / PMN Number
- K230884
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
B3 DATE OF EVENT. FIRST DATE OF THE MONTH USED AS ACTUAL DATE IS UNKNOWN. D2B PRO CODE: DSK, ITX, IYO
Description of Event or Problem · 0
IT WAS REPORTED THAT THE TABLE SIDE CONTROLLER WAS SPARKING. OUTSIDE OF A PROCEDURE, IT WAS NOTED THAT THE AVVIGO PLUS SYSTEM TABLE SIDE CONTROLLER HAD VISIBLE SPARKS COMING OFF OF IT. THE HOSPITAL STAFF TURNED OFF POWER TO THE SYSTEM, AND THERE WAS NO INJURY CAUSED BY THIS MALFUNCTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 308323 | AVVIGO?+ | COMPUTER, DIAGNOSTIC, PROGRAMMABLE | DQK | BOSTON SCIENTIFIC CORPORATION | H7492493120I0 | 0104655433 | 00191506033163 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |