VIS-RX PRIME MICRO-IMAGING CATHETER
Report
- Report Number
- 3011578544-2026-00036
- Event Type
- Malfunction
- Date Received
- May 29, 2026
- Date of Event
- December 5, 2025
- Report Date
- December 5, 2025
- Manufacturer
- GENTUITY, LLC
- Product Code
- DQO
- PMA / PMN Number
- K242966
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- 003
Narratives
DURING A TIGHT LCX PULLBACK THE PIM JAWS RELEASED PRODUCING REPETITIVE FRAMES; READVANCE PRODUCED A KNOCKING SOUND AND THE CATHETER WAS DISCONNECTED. RETURNED UNIT TESTING REPRODUCED THE KNOCKING ON READVANCE AND THERE WAS MINOR DAMAGE TO THE CATHETER'S PULLER ARM. ADDITIONALLY, THE CATHETER HAD VISIBLE KINKS. THE CAUSE OF THE KNOCKING IS UNDETERMINED. COMPLAINT IS CONFIRMED.
PHYSICIAN ATTEMPTED PRE-IMAGING IN A TIGHT LCX. DURING PULLBACK WE HEARD THE SNAPPING SOUND OF THE PIM JAWS RELEASING BUT DID NOT LOSE OUR IMAGE, JUST ENDED UP WITH REPETITIVE FRAMES. ON READVANCE I WAS NOT QUICK ENOUGH TO STOP PIM BEFORE KNOCKING SOUND BEGAN. I FOLLOWED THE ON SCREEN PROPS OF DISCONNECTING THE CATHETER. DUE TO DISCONNECTING I WAS UNABLE TO SEE IF THE RED LIGHT WAS ON IN THE CATHETER. WE ASSESSED THE IMAGE TO DEVELOP A PLAN TO PRE TREAT. THE PULLBACK APPEARS TO HAVE GONE ALMOST 40MM BEFORE THE JAWS RELEASED. THE CATHETER WAS REHOOPED AND HANDED OFF TO BE BAGGED. QUICK INSPECTION OF THE CATHETER SHOWS THAT THE AFL DID NOT TRIP AND CATHETER APPEARS TO BE REHOMED BY THE PIM DESPITE THE JAWS RELEASING IT. I HANDED OFF A SECOND CATHETER AND THAT PERFORMED 5 PULLBACKS WITHOUT ISSUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 465294 | VIS-RX PRIME MICRO-IMAGING CATHETER | CATHETER, INTRAVASCULAR, DIAGNOSTIC | DQO | GENTUITY, LLC | G31-01 | 25K1700 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |