FDA Adverse Event
Malfunction
Summary report: N
AVVIGO?+
MDR report key: 23694763
·
Received December 2, 2025
Report
- Report Number
- 2124215-2025-86244
- Event Type
- Malfunction
- Date Received
- December 2, 2025
- Date of Event
- November 5, 2025
- Report Date
- December 2, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- DQK
- UDI-DI
- 00191506033125
- PMA / PMN Number
- K230884
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MX
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
E1: INITIAL REPORTER ADDRESS: (B)(6). E1: INITIAL REPORTER CITY: (B)(6). D2B PRO CODES CONTINUED: DSK, ITX, IYO.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PROCEDURE WAS CANCELLED. AN AVVIGO MULTI-MODALITY GUIDANCE SYSTEM WAS SELECTED FOR USE. DURING THE PROCEDURE, THE EQUIPMENT SHOWED A DISTORTED IMAGE WITH ARTIFACTS MAKING ANALYSIS OF THE ARTERY IMPOSSIBLE. THERE WERE NO PATIENT COMPLICATIONS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1899809 | AVVIGO?+ | COMPUTER, DIAGNOSTIC, PROGRAMMABLE | DQK | BOSTON SCIENTIFIC CORPORATION | H7492493120C0 | 0108267647 | 00191506033125 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |