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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION ROTAPRO?; CATHETER, CORONARY, ATHERECTOMY

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BOSTON SCIENTIFIC CORPORATION ROTAPRO?; CATHETER, CORONARY, ATHERECTOMY Back to Search Results
Model Number H749394672000
Medical Device Problem Codes Entrapment of Device (1212); Output Problem (3005)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/23/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that rotaburr got stuck on the rotawire.The 90% stenosed target lesion was located in the severely tortuous and severely calcified distal right coronary artery.A rotawire and 2.00mm rotapro were selected for use.During the procedure, the rotational speed was set to 180,000 rpm with a maximum observed speed of 190,000 rpm.Upon insertion, the wire got stuck with the burr and could not be unstuck.The rotaburr and wire were removed together as one unit.When the device was removed, the wire was noted to be kinked.The procedure was completed with another of the same device.No patient complications were reported.
 
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Brand Name
ROTAPRO?
Common Device Name
CATHETER, CORONARY, ATHERECTOMY
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
model farm road
cork T12 Y K88
EI   T12 YK88
Manufacturer Contact
mark mischke
4100 hamline ave n
arden hills, MN 55112
7634941632
MDR Report Key22233379
Report Number2124215-2025-38903
Device Sequence Number8186577
Product Code MCX
UDI-Device Identifier08714729999591
UDI-Public(01)08714729999591(17)261031(10)35190212
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
P900056
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,Distributor
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 06/17/2025
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 NumberH749394672000
Device Catalogue NumberH749394672000
Device Lot Number0035190212
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 05/23/2025
Initial Report FDA Received Date06/17/2025
Date Device Manufactured10/31/2024
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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