FDA Adverse Event Malfunction Summary report: N

VIS-RX PRIME MICRO-IMAGING CATHETER

MDR report key: 25334761 · Received May 29, 2026

Report

Report Number
3011578544-2026-00037
Event Type
Malfunction
Date Received
May 29, 2026
Date of Event
February 26, 2026
Report Date
February 27, 2026
Manufacturer
GENTUITY, LLC
Product Code
DQO
UDI-DI
00859910007155
PMA / PMN Number
K242966
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE REPORTED REPEAT-FRAME FAILURE COULD NOT BE REPRODUCED; ROOT CAUSE IS UNDETERMINED AND THE COMPLAINT IS UNCONFIRMED. THE INVESTIGATION OF THE RETURNED CATHETER SHOWED THAT THE MANUAL PULLBACK WAS SMOOTH, PURGE SUCCEEDED, AND VLD WAS VISIBLE AT THE TIP INDICATING NO FIBER BREAKS. A KINK WAS NOTED 450 MM FROM THE GREEN CONE, BUT BENCH AND PHANTOM PULLBACKS PRODUCED CLEAR IMAGES AND NO REPEATED FRAMES.

Description of Event or Problem · 0

THE CATHETER DID NOT PULLBACK. ALL FRAMES IN THE ENTIRE PB WERE REPEAT FRAMES. WHEN THE CATHETER WAS REMOVED FROM THE BODY, THERE WERE NO VISIBLE KINKS OR FRACTURE. THE LENS WAS IN THE CORRECT LOCATION, AND STILL VERY BRIGHT, PIM. REPLACED WITH NEW CATHETER, SAME LOT#, AND REBOOTED SYSTEM. 2ND CATHETER WORKED APPROPRIATELY. CATHETER IS BEING RETURNED RGA # 0503. OBTAINED LOGS AND OCT PULLBACKS FROM CASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
611275 VIS-RX PRIME MICRO-IMAGING CATHETER CATHETER, INTRAVASCULAR, DIAGNOSTIC DQO GENTUITY, LLC G31-01 25L0603 00859910007155

Patients

Seq Age Sex Outcome Treatment
1