| Brand Name | PIONEER PLUS CATHETER |
| Common Device Name | CATHETER FOR CROSSING TOTAL OCCLUSIONS |
| Manufacturer (Section D) |
| VOLCANO CORPORATION |
| 3721 valley centre drive #500 |
| san diego CA 92130 |
|
| Manufacturer (Section G) |
| VOLCARICA S.R.L. |
| coyol free zone &business park |
| b37 |
| alajuela |
|
CS
|
|
| Manufacturer Contact |
|
danielle
bullock
|
| 3721 valley centre drive #500 |
| san diego, CA 92130
|
|
858720-4125
|
|
| MDR Report Key | 25816841 |
| Report Number | 3008363989-2026-00120 |
| Device Sequence Number | 5953329 |
| Product Code |
PDU
|
| UDI-Device Identifier | 00845225003425 |
| UDI-Public | (01)00845225003425(11)250417(17)270417(10)5847844 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K162418 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/14/2026 |
| 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 | PPLUS120 |
| Device Catalogue Number | PPLUS120 |
| Device Lot Number | 5847844 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/19/2026 |
| Initial Report FDA Received Date | 07/14/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 04/17/2025 |
| 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 | 61 YR |
| Patient Sex | Female |
| Patient Weight | 85 KG |
| Patient Ethnicity | Non Hispanic |
| Patient Race | Native Hawaiian Or Other Pacific Islander |