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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION OPTICROSS 35; CATHETER, ULTRASOUND, INTRAVASCULAR

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BOSTON SCIENTIFIC CORPORATION OPTICROSS 35; CATHETER, ULTRASOUND, INTRAVASCULAR Back to Search Results
Model Number H7493932800350
Medical Device Problem Codes Contamination (1120); Difficult to Open or Remove Packaging Material (2922)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/09/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
D2b - pro code (product code): obj, itx.Good faith effort attempts were made to try and retrieve the initial reporter information and facility details, but further information was unable to be obtained.If additional details become available, a supplemental report will be submitted.
 
Event or Problem Description
It was reported that device contamination occurred.The target lesion was located in the deep vein.An 8f opticross 35 catheter was selected for a venous case.However, during the preparation of the device, difficulty was noted in opening the inner packaging.Consequently, the catheter was accidentally dropped on the floor and got contaminated.The procedure was completed with another catheter.There were no patient complications as a result of this event.
 
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Brand Name
OPTICROSS 35
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
rachel shields
4100 hamline ave n
arden hills, MN 55112
6512422111
MDR Report Key22133889
Report Number2124215-2025-35724
Device Sequence Number8408516
Product Code OBJ
UDI-Device Identifier08714729984542
UDI-Public(01)08714729984542(17)261028(10)35547898
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K200733
Number of Events Summarized1
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
Report Date (Section B) 06/03/2025
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 NumberH7493932800350
Device Catalogue NumberH7493932800350
Device Lot Number0035547898
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/09/2025
Initial Report FDA Received Date06/03/2025
Date Device Manufactured10/28/2024
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 Number1
Patient SexUnknown
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