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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION TRUSELECT?; CATHETER, CONTINUOUS FLUSH

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BOSTON SCIENTIFIC CORPORATION TRUSELECT?; CATHETER, CONTINUOUS FLUSH Back to Search Results
Model Number M001394101300
Medical Device Problem Code Deformation Due to Compressive Stress (2889)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/21/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the procedure was cancelled.This 130cm truselect catheter was selected for use during a therasphere y90 procedure.During the procedure, as the catheter was connected to the administration set tubing, the catheter became kinked.An attempt was made to unroll the kink in the truselect catheter and then inject the y90 beads; however, the drug could not be delivered due to the kink.Therefore, the procedure was cancelled.There were no patient complications as a result of this event.
 
Event or Problem Description
It was reported that the procedure was cancelled.This 130cm truselect catheter was selected for use during a therasphere y90 procedure.During the procedure, as the catheter was connected to the administration set tubing, the catheter became kinked.An attempt was made to unroll the kink in the truselect catheter and then inject the y90 beads; however, the drug could not be delivered due to the kink.Therefore, the procedure was cancelled.There were no patient complications as a result of this event.
 
Additional Manufacturer Narrative
Device history record (dhr) review: it was confirmed this device met manufacturing specifications prior to distribution and there were no manufacturing deviations that could have contributed to the reported event.Labeling review: review of the instructions for use (ifu) confirmed there was relevant content and sufficient guidance with respect to the circumstances described within this complaint.No updates are required to the ifu as a result of this event.Risk review: a review of the truselect device confirmed that the reported event is a known event defined in the product's risk management documentation.This event type has been accounted for during product risk analysis to support acceptable risk benefit for the product.Investigation conclusion: based on a thorough review of the reported complaint, boston scientific has assigned an investigation conclusion code of failure to follow instructions.
 
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Brand Name
TRUSELECT?
Common Device Name
CATHETER, CONTINUOUS FLUSH
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
ricardo amaro castro
4100 hamline ave n
arden hills, MN 55112
9529306396
MDR Report Key24366176
Report Number2124215-2026-08819
Device Sequence Number14797791
Product Code KRA
UDI-Device Identifier08714729976615
UDI-Public(01)08714729976615(17)271209(10)38149890
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K201792
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,Followup
Report Date (Section B) 04/06/2026
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 NumberM001394101300
Device Catalogue NumberM001394101300
Device Lot Number0038149890
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 01/21/2026
Supplement Date Received by Manufacturer03/16/2026
Initial Report FDA Received Date02/17/2026
Supplement Report FDA Received Date04/06/2026
Date Device Manufactured12/09/2025
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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