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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION OptiCross¿ 6 HD; transducer, ultrasonic, diagnostic

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BOSTON SCIENTIFIC CORPORATION OptiCross¿ 6 HD; transducer, ultrasonic, diagnostic Back to Search Results
Model Number H74939354090
Medical Device Problem Codes Difficult to Flush (1251); Air/Gas in Device (4062)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/01/2026
Type of Reportable Event Malfunction
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Brand Name
OptiCross¿ 6 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 Key50091208
Report Number2124215-2026-41082
Device Sequence Number10317017
Product Code OBJ
UDI-Device Identifier00191506035457
UDI-Public(01)00191506035457(17)280512(10)39328706
Combination Product (Y/N)N
Initial Reporter StateAL
Initial Reporter CountryUS
PMA/510(K) Number
K213593
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 08/28/2026
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 NumberH74939354090
Device Catalogue NumberH74939354090
Device Lot Number0039328706
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 07/09/2026
Supplement Date Received by Manufacturer07/31/2026
Initial Report FDA Received Date07/30/2026
Supplement Report FDA Received Date08/28/2026
Date Device Manufactured05/13/2026
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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