FDA Adverse Event Malfunction Summary report: N

DIREXION? FATHOM?-16 SYSTEM

MDR report key: 24292568 · Received February 9, 2026

Report

Report Number
2124215-2026-07138
Event Type
Malfunction
Date Received
February 9, 2026
Date of Event
January 12, 2026
Report Date
February 9, 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
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

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.

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
352486 DIREXION? FATHOM?-16 SYSTEM CATHETER, CONTINUOUS FLUSH KRA BOSTON SCIENTIFIC CORPORATION M001195650 0036578861 08714729839644

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown