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U.S. Department of Health and Human Services

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

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BOSTON SCIENTIFIC CORPORATION OPTICROSS? 6 HD; CATHETER, ULTRASOUND, INTRAVASCULAR Back to Search Results
Model Number H74939354080
Medical Device Problem Codes Poor Quality Image (1408); Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/02/2025
Type of Reportable Event Malfunction
Event or Problem Description
Reportable based on device analysis completed on 25 sep 2025.It was reported that visualization issues occurred.The opticross 6 hd imaging catheter was advanced for ultrasound examination of the target lesion; however, poor image quality was observed.No patient complications were reported.Device analysis revealed that the catheter was twisted.
 
Additional Manufacturer Narrative
The device was returned for analysis.Visual and microscope inspections revealed that the sheath was kinked, and the imaging core had windup and a broken drive and coaxial cable beginning 26.4 cm from the distal end of the connector shaft.The catheter was also found twisted.Impedance testing showed an electrical open at the proximal end of the catheter.During destructive testing, the sheath of the unit was cut a few centimeters below the severe kink to allow examination of the other end of the broken imaging core.G4 premarket / 510(k) #: k213593.
 
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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 Key23352450
Report Number2124215-2025-73078
Device Sequence Number12943472
Product Code OBJ
UDI-Device Identifier08714729960775
UDI-Public(01)08714729960775(17)261112(10)35261108
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K173820
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 Other Health Care Professional
Type of Report Initial
Report Date (Section B) 10/21/2025
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 NumberH74939354080
Device Catalogue NumberH74939354080
Device Lot Number0035261108
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/05/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/25/2025
Initial Report FDA Received Date10/21/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/12/2024
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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