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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 Code Material Integrity Problem (2978)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/28/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the coating was compromised.A 6f guidezilla ii was selected for use.During unpacking, it was noted that the z-glide coating was compromised.The device was not used and replaced with another of the same device.There were no patient complications, and the patient condition was good.
 
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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
+1(763)494-1632
MDR Report Key25219636
Report Number2124215-2026-26933
Device Sequence Number13206240
Product Code DQY
UDI-Device Identifier08714729939450
UDI-Public(01)08714729939450(17)271208(10)38130755
Combination Product (Y/N)N
Initial Reporter CountryKS
PMA/510(K) Number
K163314
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 08/11/2026
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 NumberH7493933515060
Device Catalogue NumberH7493933515060
Device Lot Number0038130755
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/29/2026
Supplement Date Received by Manufacturer07/21/2026
Initial Report FDA Received Date05/19/2026
Supplement Report FDA Received Date08/11/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/08/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient Age77 YR
Patient SexMale
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