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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION OptiCross¿ HD; transducer, ultrasonic, diagnostic

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BOSTON SCIENTIFIC CORPORATION OptiCross¿ HD; transducer, ultrasonic, diagnostic Back to Search Results
Model Number H74939352050
Medical Device Problem Codes Leak/Splash (1354); Air/Gas in Device (4062)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/15/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that catheter issue occurred.An opticross hd imaging catheter was selected for ultrasound examination for the target lesion.During preparation, a leak was noticed on the flushing tube which prevented proper air removal.The procedure was completed with another of the same device.The patient remained stable after the procedure.
 
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Brand Name
OptiCross¿ HD
Common Device Name
transducer, ultrasonic, diagnostic
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
mark mischke
4100 hamline ave n
arden hills, MN 55112
+1(763)494-1632
MDR Report Key25740374
Report Number2124215-2026-36395
Device Sequence Number16065824
Product Code OBJ
UDI-Device Identifier00191506035419
Combination Product (Y/N)N
Initial Reporter CountryTW
PMA/510(K) Number
K213593
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) 09/02/2026
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 NumberH74939352050
Device Catalogue NumberH74939352050
Device Lot Number0038232934
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer07/17/2026
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 06/15/2026
Supplement Date Received by Manufacturer08/05/2026
Initial Report FDA Received Date07/07/2026
Supplement Report FDA Received Date09/02/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/19/2025
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 SexUnknown
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