FDA Adverse Event Malfunction Summary report: N

DIREXION? FATHOM?-16 SYSTEM

MDR report key: 24292549 · Received February 9, 2026

Report

Report Number
2124215-2026-07135
Event Type
Malfunction
Date Received
February 9, 2026
Date of Event
January 13, 2026
Report Date
April 7, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
KRA
UDI-DI
08714729839644
PMA / PMN Number
K142259
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

G4 - PREMARKET / 510(K) #: K142259, K163701 INVESTIGATION RESULTS: DEVICE EVALUATED BY MFR: THE DIREXION DEVICE WAS RETURNED TO OUR POST MARKET QUALITY ASSURANCE LABORATORY. THE RETURNED DEVICE CONSISTS OF DIREXION MICROCATHETER IN 3 SEPARATE PIECES AS THE SHAFT IS DETACHED FROM THE LUER AND PIECE OF THE HYPO TUBE IS REMOVED FROM THE SHAFT. VISUAL EXAMINATION REVEALS A NICKEL SHAFT FRACTURED IS LOCATED AT THE HUB. ANOTHER NICKEL SHAFT FRACTURE IS LOCATED APPROXIMATELY 19CM FROM THE HUB. THE INNER LUMEN IS STRETCHED APPROXIMATELY 1CM. THIS CONCLUDES THE PRODUCT ANALYSIS. DEVICE HISTORY RECORD: IT WAS CONFIRMED THIS DEVICE MET MANUFACTURING SPECIFICATION PRIOR TO DISTRIBUTION AND THERE WERE NO MANUFACTURING DEVIATIONS WHICH COULD HAVE CONTRIBUTED TO THE REPORTED EVENT. LABELING REVIEW: REVIEW OF THE INSTRUCTIONS FOR USE (IFU) CONFIRMED THAT THE CONTENT WAS SUFFICIENT AND DID NOT CONTRIBUTE TO THE REPORTED EVENT; THEREFORE, NO UPDATES ARE REQUIRED TO THE DOCUMENT AT THIS TIME. RISK REVIEW: A RISK REVIEW PERFORMED FOR THE DIREXION DEVICE CONFIRMED THAT THE REPORTED EVENT IS A KNOWN EVENT DEFINED IN THE PRODUCT'S RISK MANAGEMENT DOCUMENTATION. THIS EVENT TYPE HAS BEEN ACCOUNTED FOR DURING PRODUCT RISK ANALYSIS TO SUPPORT ACCEPTABLE RISK BENEFITS FOR THE PRODUCT. INVESTIGATION CONCLUSION: BASED ON A THOROUGH REVIEW OF THE REPORTED COMPLAINT, BOSTON SCIENTIFIC HAS ASSIGNED AN INVESTIGATION CONCLUSION CODE OF CAUSE LINKED TO DEVICE BUT UNABLE TO TRACE MORE SPECIFICALLY.

Additional Manufacturer Narrative · 0

G4 - PREMARKET / 510(K) #: K142259, K163701. GOOD FAITH EFFORT ATTEMPTS WERE MADE TO TRY AND RETRIEVE ADDITIONAL DETAILS REGARDING THE REPORTED EVENT, INITIAL REPORTER, AND PRODUCT RETURN STATUS, BUT FURTHER INFORMATION WAS UNABLE TO BE OBTAINED. IF ADDITIONAL DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative · 0

E. INITIAL REPORTER - UPDATED TO PHYSICIAN DETAILS. G4 - PREMARKET / 510(K) #: K142259, K163701.

Description of Event or Problem · 0

IT WAS REPORTED THAT MICROCATHETER FRACTURE OCCURRED. A DIREXION FATHOM -16 SYSTEM CATHETER-INFUSION WAS SELECTED FOR USE. DURING THE PROCEDURE, THE MICROCATHETER WAS INTRODUCED INTO THE PATIENT. HOWEVER, THE MICROCATHETER FRACTURED INTO SEVERAL SEGMENTS. THE DEVICE WAS REMOVED, AND THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT MICROCATHETER FRACTURE OCCURRED. A DIREXION? FATHOM?-16 SYSTEM CATHETER-INFUSION WAS SELECTED FOR USE. DURING THE PROCEDURE, THE MICROCATHETER WAS INTRODUCED INTO THE PATIENT. HOWEVER, THE MICROCATHETER FRACTURED INTO SEVERAL SEGMENTS. THE DEVICE WAS REMOVED, AND THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT MICROCATHETER FRACTURE OCCURRED. A DIREXION? FATHOM?-16 SYSTEM CATHETER-INFUSION WAS SELECTED FOR USE. DURING THE PROCEDURE, THE MICROCATHETER WAS INTRODUCED INTO THE PATIENT. HOWEVER, THE MICROCATHETER FRACTURED INTO SEVERAL SEGMENTS. THE DEVICE WAS REMOVED, AND THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
171290 DIREXION? FATHOM?-16 SYSTEM CATHETER, CONTINUOUS FLUSH KRA BOSTON SCIENTIFIC CORPORATION M001195650 0036578861 08714729839644

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown