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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); Nonstandard Device (1420)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/09/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Device analysis findings: the complaint device was received for product analysis.A visual inspection of the device revealed that there was a collar and shaft separation and there were numerous kinks and flats throughout the shaft of the device.No other issues were identified during the product analysis.Media review: media attached to the parent record shows packaging label.Device history record (dhr) review: it was confirmed that this device met manufacturing specification prior to distribution and there no manufacturing deviations which could have contributed to the reported event.Labeling review: review of the instructions for use (ifu) confirmed there was relevant content and sufficient guidance with respect to the circumstances described within this complaint.No updates are required to the ifu as a result of this event.Investigation conclusion: this investigation has been assigned an investigation conclusion code of unintended use error caused or contributed to event following a review of the returned device, reported event details, available information, and product record review.E1-initial reporter phone: (b)(6).E1-initial reporter address 1:.
 
Event or Problem Description
Reportable based on device analysis completed on 29apr2026.It was reported that the shaft broke during the pre-installation of the catheter and the rotational atherectomy device outside the patient.The target lesion was located in the left anterior descending branch.A 6f guidezilla was selected for use.During the pre-installation of the catheter and the rotational atherectomy device outside the patient, the catheter was split.The procedure was completed with another of the same device.There were no complications and patient had no abnormality after the procedure.However, device analysis revealed that the collar was detached.
 
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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 Key25257484
Report Number2124215-2026-27757
Device Sequence Number10535743
Product Code DQY
UDI-Device Identifier08714729939450
UDI-Public(01)08714729939450(17)270729(10)37076206
Combination Product (Y/N)N
Initial Reporter CountryCH
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
Report Date (Section B) 05/22/2026
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 Number0037076206
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer03/24/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/29/2026
Initial Report FDA Received Date05/22/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/29/2025
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 Age71 YR
Patient SexFemale
Patient Weight60 KG
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