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U.S. Department of Health and Human Services

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

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BOSTON SCIENTIFIC CORPORATION OPTICROSS; CATHETER, ULTRASOUND, INTRAVASCULAR Back to Search Results
Model Number 8655
Medical Device Problem Codes Difficult to Flush (1251); Material Deformation (2976); Material Integrity Problem (2978); Air/Gas in Device (4062)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/14/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that a catheter issue occurred.The opticross hd imaging catheter was selected for intravascular ultrasound (ivus) examination.During preparation, while flushing the catheter, it abnormally inflated at the connector.A video shows a balloon-like expansion forming when attempting to clean the catheter.The procedure was completed with another of the same device.No patient complications were reported.
 
Additional Manufacturer Narrative
The device was not returned for analysis; therefore, a technical evaluation could not be performed.However, a review of the media provided by the customer showed the extension tube inflated.
 
Event or Problem Description
It was reported that a catheter issue occurred.The opticross hd imaging catheter was selected for intravascular ultrasound (ivus) examination.During preparation, while flushing the catheter, it abnormally inflated at the connector.A video shows a balloon-like expansion forming when attempting to clean the catheter.The procedure was completed with another of the same device.No patient complications were reported.
 
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Brand Name
OPTICROSS
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 Key23760800
Report Number2124215-2025-89942
Device Sequence Number13281862
Product Code OBJ
UDI-Device Identifier08714729841531
UDI-Public(01)08714729841531(17)260524(10)36601072
Combination Product (Y/N)N
Initial Reporter CountryPE
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,Followup
Report Date (Section B) 01/28/2026
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 Expiration Date05/24/2026
Device Model Number8655
Device Catalogue Number8655
Device Lot Number0036601072
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 11/17/2025
Supplement Date Received by Manufacturer01/08/2026
Initial Report FDA Received Date12/09/2025
Supplement Report FDA Received Date01/28/2026
Date Device Manufactured05/24/2025
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 SexMale
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