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U.S. Department of Health and Human Services

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

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BOSTON SCIENTIFIC CORPORATION OPTICROSS? HD; TRANSDUCER, ULTRASONIC, DIAGNOSTIC Back to Search Results
Model Number H74939352050
Medical Device Problem Code Air/Gas in Device (4062)
Health Effect - Clinical Code Air Embolism (1697)
Date of Event 03/20/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that a catheter issue occurred.The patient was not sedated.The opticross hd imaging catheter was advanced for intravascular ultrasound (ivus) examination of the target lesion.The ivus was stopped in the middle of the run and when restarted, air was introduced through the catheter into the patient.Air was increased to 100% and thrombectomy performed.The procedure was not completed.The patient is expected to fully recover.
 
Additional Manufacturer Narrative
Good faith effort attempts are being made to try and retrieve additional details regarding the reported event, but further information has not been obtained.
 
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Brand Name
OPTICROSS? HD
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 Key24835508
Report Number2124215-2026-19446
Device Sequence Number10447176
Product Code OBJ
UDI-Device Identifier00191506035419
UDI-Public(01)00191506035419(17)261014(10)37697014
Combination Product (Y/N)N
Initial Reporter StateMI
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) 04/09/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberH74939352050
Device Catalogue NumberH74939352050
Device Lot Number0037697014
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 03/20/2026
Initial Report FDA Received Date04/09/2026
Date Device Manufactured10/14/2025
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
Outcome Attributed to Adverse Event Required Intervention;
Patient SexUnknown
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