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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION GUIDEZILLA? II; CATHETER, PERCUTANEOUS

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BOSTON SCIENTIFIC CORPORATION GUIDEZILLA? II; CATHETER, PERCUTANEOUS Back to Search Results
Model Number H7493933515060
Medical Device Problem Codes Break (1069); Failure to Advance (2524)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/16/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
E1 initial reporter address 1: (b)(6).
 
Event or Problem Description
It was reported that a catheter fracture occurred.The 99% stenosed target lesion was located in the severely tortuous and severely calcified left circumflex artery.A 6f guidezilla ii was selected for use.During the procedure, the physician tried to cross the device multiple times, but the catheter got fractured.The device was removed in one piece, and the procedure was completed with another device.There were no patient complications and the patient fully recovered.
 
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Brand Name
GUIDEZILLA? II
Common Device Name
CATHETER, PERCUTANEOUS
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
two scimed place
maple grove MN 55311
Manufacturer Contact
mark mischke
4100 hamline ave n
arden hills, MN 55112
7634941632
MDR Report Key24816083
Report Number2124215-2026-19019
Device Sequence Number9556029
Product Code DQY
UDI-Device Identifier08714729939450
UDI-Public(01)08714729939450(17)260517(10)34053185
Combination Product (Y/N)N
Initial Reporter CountryIN
PMA/510(K) Number
K163314
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,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 05/13/2026
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 Date05/17/2026
Device Model NumberH7493933515060
Device Catalogue NumberH7493933515060
Device Lot Number0034053185
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 03/21/2026
Supplement Date Received by Manufacturer04/21/2026
Initial Report FDA Received Date04/08/2026
Supplement Report FDA Received Date05/13/2026
Date Device Manufactured05/17/2024
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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