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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 01/30/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that an intrasight system was used in an emergent procedure.During use, the hemo signal was unstable, and when reconnecting the fm-pim, the system had a "connect fm-pim" message; therefore, use of ifr was aborted.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.
 
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: at the customer site, the field service engineer found that fm-pim was intermittently disconnecting.Fm-pim, fm-pim cable, and bub(bedside utility box) were replaced.The system was tested, verified, and returned for use.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.
 
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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 Key24390961
Report Number3008363989-2026-00028
Device Sequence Number13391446
Product Code IYO
UDI-Device Identifier00845225012878
UDI-Public(01)00845225012878(11)250501(10)1460320121
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)N
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 06/04/2026
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 Number1460320121
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/30/2026
Supplement Date Received by Manufacturer05/12/2026
Initial Report FDA Received Date02/19/2026
Supplement Report FDA Received Date06/04/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/01/2025
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; INTRODUCER SHEATH, MFG AND SIZE UNK; PHILIPS GUIDEWIRE: TYPE UNKNOWN
Patient SexUnknown
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