| Brand Name | TRUEtome 44 |
| Common Device Name | Unit, Electrosurgical, Endoscopic (With Or Without Accessories) |
| 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 |
|
christina
lam
|
| 300 boston scientific way |
| marlborough, MA 01752
|
|
+1(914)571-6918
|
|
| MDR Report Key | 25622813 |
| Report Number | 3005099803-2026-02580 |
| Device Sequence Number | 18670985 |
| Product Code |
KNS
|
| UDI-Device Identifier | 08714729827634 |
| UDI-Public | (01)08714729827634(17)271002(10)37603855 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K122203 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| 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) |
08/29/2026 |
| 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 Number | M00584170 |
| Device Catalogue Number | M00584170 |
| Device Lot Number | 0037603855 |
| 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 | 06/02/2026 |
| Supplement Date Received by Manufacturer | Not provided
|
| Initial Report FDA Received Date | 06/25/2026 |
| Supplement Report FDA Received Date | 09/03/2026
|
| Date Device Manufactured | 10/02/2025 |
| 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 Number | 1 |
| Patient Age | 89 YR |
| Patient Sex | Male |
| Patient Weight | 138 LB |
|
|