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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION ROTAPRO?; CATHETER, CORONARY, ATHERECTOMY

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BOSTON SCIENTIFIC CORPORATION ROTAPRO?; CATHETER, CORONARY, ATHERECTOMY Back to Search Results
Model Number H749394671250
Medical Device Problem Code Entrapment of Device (1212)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/22/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the burr became stuck with the guidewire.The 10mm long and 90% stenosed target lesion was located in a moderately tortuous and severely calcified right coronary artery (rca) with a vessel diameter of 3.00 mm.A 1.25mm rotapro and rotawire drive were selected for percutaneous coronary intervention (pci).During the procedure, it was noted that the guidewire got stuck in the burr catheter.The procedure was completed with another of the same device.There were no patient complications, and the patient was stable post procedure.
 
Additional Manufacturer Narrative
Good faith effort attempts were made to try and retrieve additional details regarding the reported event, but further information was unable to be obtained.
 
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Brand Name
ROTAPRO?
Common Device Name
CATHETER, CORONARY, ATHERECTOMY
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
mark mischke
4100 hamline ave n
arden hills, MN 55112
7634941632
MDR Report Key24931823
Report Number2124215-2026-21303
Device Sequence Number16119259
Product Code MCX
UDI-Device Identifier08714729999560
UDI-Public(01)08714729999560(17)270814(10)37209109
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
P900056
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,Followup
Report Date (Section B) 06/03/2026
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 NumberH749394671250
Device Catalogue NumberH749394671250
Device Lot Number0037209109
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 03/27/2026
Supplement Date Received by Manufacturer05/04/2026
05/12/2026
Initial Report FDA Received Date04/20/2026
Supplement Report FDA Received Date05/20/2026
06/03/2026
Date Device Manufactured08/14/2025
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
Patient Age62 YR
Patient SexMale
Patient Weight82 KG
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