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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: VOLCANO CORPORATION INTRASIGHT; SYSTEM, IMAGING, PULSED ECHO, ULTRASONIC

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VOLCANO CORPORATION INTRASIGHT; SYSTEM, IMAGING, PULSED ECHO, ULTRASONIC Back to Search Results
Model Number 797403
Medical Device Problem Code Computer Operating System Problem (2898)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/05/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This case was reviewed and investigated according to the manufacturer¿s policy.Blocks a2-a6: no information available.Blocks b6 & b7: no information available.Block c: not applicable for this system.Block d4: expiration date is not applicable for this system.Blocks d6 & d7: not applicable for this system.Blocks h3 & h6: the facility cancelled service on the intrasight system; therefore, the cause could not be established.Blocks h7, h9 & h10: do not apply to this submission.Submission of this report does not, in itself, represent a conclusion by the manufacturer and/or authorized representative or the national competent authority that the content of this report is complete or accurate, that the medical device(s) listed failed in any manner and/or that the medical device(s) caused or contributed to an alleged death or deterioration in the state of the health of any person.
 
Event or Problem Description
It was reported that an intrasight system was used in an emergent aortic dissection procedure.During use, the system had an unknown hardware error; therefore, it could not be used.The procedure was completed with a mobile c-arm and angio.No patient injury reported.This product problem is being reported because the system could not be used during an emergent case, resulting in a potential for harm due to the delay of the procedure.
 
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Brand Name
INTRASIGHT
Common Device Name
SYSTEM, IMAGING, PULSED ECHO, ULTRASONIC
Manufacturer (Section D)
VOLCANO CORPORATION
3721 valley centre drive #500
san diego CA 92130
Manufacturer (Section G)
VOLCANO CORPORATION
3721 valley centre drive #500
san diego CA 92130
Manufacturer Contact
ayse kharodawala
3721 valley centre drive #500
san diego, CA 92130
858720-4063
MDR Report Key24193459
Report Number3008363989-2026-00011
Device Sequence Number9850964
Product Code IYO
UDI-Device Identifier00845225012878
UDI-Public(01)00845225012878(11)210831(10)1407034
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K190078
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 01/27/2026
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 Model Number797403
Device Catalogue Number797403
Device Lot Number1407034
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 01/05/2026
Initial Report FDA Received Date01/27/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/31/2021
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
GUIDE CATHETER, MFG AND SIZE UNK.; GUIDE WIRE, MFG AND SIZE UNK.; INTRODUCER SHEATH, MFG AND SIZE UNK.; PHILIPS IVUS DEVICE: TYPE UNKNOWN.
Patient SexUnknown
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