MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION OPTICROSS 6 HD; CATHETER, ULTRASOUND, INTRAVASCULAR

Model Number	H74939354080
Medical Device Problem Codes	Entrapment of Device (1212); Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	03/01/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
B3 date of event was estimated based on aware date as the event date was not provided.G4 premarket / 510(k): k173820, k213593.Good faith effort attempts were made to try and retrieve additional details regarding the reported event, but further information was unable to be obtained.
Event or Problem Description
It was reported that a catheter issue occurred.An opticross 6 hd imaging catheter was advanced for ultrasound examination of the target lesion.During the procedure, the catheter got stuck with a non-boston scientific guidewire.There were no patient complications reported.
Additional Manufacturer Narrative
B3 date of event was estimated based on aware date as the event date was not provided.G4 premarket / 510(k): k173820, k213593.Good faith effort attempts were made to try and retrieve additional details regarding the reported event, but further information was unable to be obtained.The device was returned for analysis.Visual inspection revealed no issues, and the device appears to be in good condition.Microscopic inspection revealed the guidewire exit port was torn but the distal section of the tip was in good condition.A test guidewire was inserted and no indication of resistance in tracking the guidewire into the catheter was noted.
Event or Problem Description
It was reported that a catheter issue occurred.An opticross 6 hd imaging catheter was advanced for ultrasound examination of the target lesion.During the procedure, the catheter got stuck with a non-boston scientific guidewire.There were no patient complications reported.

• Brand Name: OPTICROSS 6 HD
• Common Device Name: CATHETER, ULTRASOUND, INTRAVASCULAR
• Manufacturer (Section D): BOSTON SCIENTIFIC CORPORATION; 300 boston scientific way; marlborough MA 01752
• Manufacturer (Section G): BOSTON SCIENTIFIC CORPORATION; 2546 calle primera; alajuela ; CS
• Manufacturer Contact: mark mischke ; 4100 hamline ave n; arden hills, MN 55112 ; 7634941632
• MDR Report Key: 21698060
• Report Number: 2124215-2025-18675
• Device Sequence Number: 12944215
• Product Code: OBJ
• UDI-Device Identifier: 08714729960775
• UDI-Public: 08714729960775
• Combination Product (Y/N): N
• Initial Reporter State: NC
• Initial Reporter Country: US
• PMA/510(K) Number: K173820
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Health Professional,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 05/02/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Model Number: H74939354080
• Device Catalogue Number: H74939354080
• Device Lot Number: 0035399117
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 03/12/2025
• Supplement Date Received by Manufacturer: 04/16/2025
• Initial Report FDA Received Date: 03/26/2025
• Supplement Report FDA Received Date: 05/02/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 12/02/2024
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Concomitant Medical Products and Therapy/Usage Dates: TERUMO RUNTHROUGH GUIDEWIRE; TERUMO RUNTHROUGH GUIDEWIRE
• Patient Sex: Unknown