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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 H749394672000
Medical Device Problem Codes Entrapment of Device (1212); Physical Resistance/Sticking (4012)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/23/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the rotaburr was stuck with the rotawire.A 2.00mm rotapro and rotawire drive were selected for use.Upon removal from the body after ablation, the rotapro became stuck with the rotawire.The devices were removed together.The procedure was completed with this device.There were no patient complications.
 
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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 Key25232035
Report Number2124215-2026-27177
Device Sequence Number13321588
Product Code MCX
UDI-Device Identifier08714729999591
UDI-Public(01)08714729999591(17)271125(10)38045761
Combination Product (Y/N)N
Initial Reporter CountryJA
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
Report Date (Section B) 07/16/2026
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 NumberH749394672000
Device Catalogue NumberH749394672000
Device Lot Number0038045761
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 04/24/2026
Supplement Date Received by Manufacturer06/24/2026
Initial Report FDA Received Date05/20/2026
Supplement Report FDA Received Date07/16/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/25/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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