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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION OPTICROSS?; TRANSDUCER, ULTRASONIC, DIAGNOSTIC

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BOSTON SCIENTIFIC CORPORATION OPTICROSS?; TRANSDUCER, ULTRASONIC, DIAGNOSTIC Back to Search Results
Model Number H749518130
Medical Device Problem Codes Difficult to Flush (1251); Air/Gas in Device (4062)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/16/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that a catheter issue occurred.The opticross imaging catheter was selected for intravascular ultrasound examination.During preparation, the ivus catheter was unable to be flushed and air was observed.The product was not used, and the procedure was completed with an alternative device.There were no patient complications and the patient fully recovered.
 
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Brand Name
OPTICROSS?
Common Device Name
TRANSDUCER, ULTRASONIC, DIAGNOSTIC
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 Key24048074
Report Number2124215-2026-02011
Device Sequence Number9494881
Product Code OBJ
UDI-Device Identifier00191506035396
UDI-Public(01)00191506035396(17)260710(10)36943400
Combination Product (Y/N)N
Initial Reporter StateNM
Initial Reporter CountryUS
PMA/510(K) Number
K213593
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 Physician
Type of Report Initial
Report Date (Section B) 01/12/2026
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 Date07/10/2026
Device Model NumberH749518130
Device Catalogue NumberH749518130
Device Lot Number0036943400
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 12/19/2025
Initial Report FDA Received Date01/12/2026
Date Device Manufactured07/10/2025
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 SexUnknown
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