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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION FFR LINK; PROGRAMMABLE DIAGNOSTIC COMPUTER, BLOOD PRESSURE COMPUTER

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BOSTON SCIENTIFIC CORPORATION FFR LINK; PROGRAMMABLE DIAGNOSTIC COMPUTER, BLOOD PRESSURE COMPUTER Back to Search Results
Model Number H7495551000
Medical Device Problem Code Failure to Power Up (1476)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/19/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
E1: initial reporter address 1: (b)(6).
 
Event or Problem Description
It was reported that the procedure was cancelled.The ffr link was selected for use in a percutaneous transluminal coronary angioplasty procedure.However, during preparation, the device would not start, and the power led was red and blinking.The procedure was not completed due to this event.There were no patient complications reported.
 
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Brand Name
FFR LINK
Common Device Name
PROGRAMMABLE DIAGNOSTIC COMPUTER, BLOOD PRESSURE COMPUTER
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
150 baytech dr.
san jose CA 95134
Manufacturer Contact
mark mischke
4100 hamline ave n
arden hills, MN 55112
7634941632
MDR Report Key22183059
Report Number2124215-2025-37703
Device Sequence Number12908631
Product Code DQK
UDI-Device Identifier08714729890010
UDI-Public(01)08714729890010(11)160926(10)SPM01338
Combination Product (Y/N)N
PMA/510(K) Number
K151613
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 06/11/2025
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 NumberH7495551000
Device Catalogue NumberH7495551000
Device Lot NumberSPM01338
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 05/20/2025
Initial Report FDA Received Date06/11/2025
Date Device Manufactured09/26/2016
Is the Device Labeled for Single Use? (Y/N) No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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