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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION ROTAPRO?; catheter, coronary, atherectomy

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BOSTON SCIENTIFIC CORPORATION ROTAPRO?; catheter, coronary, atherectomy Back to Search Results
Model Number H749394671250
Medical Device Problem Codes Fluid/Blood Leak (1250); Mechanical Jam (2983); Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/05/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that a hole/leak issue occurred.A rotapro 1.25mm was selected for treatment of the target lesion that was 70% stenosed.During the procedure, it was noted that there was difficulty putting the wire in the burr and a saline leak/hole was noted near the burr tip.The leak/hole was located on a portion of the device that would enter the patient.The device was outside of the patient when the leak/hole was discovered.The procedure was completed with another of the same device.There were no patient complications.
 
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Brand Name
ROTAPRO?
Common Device Name
catheter, coronary, atherectomy
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
Boston Scientific Corporation
business and technology park
cork T12 Y K88
EI   T12 YK88
Manufacturer Contact
mark mischke
4100 hamline ave n
arden hills, MN 55112
+1(612)875-7234
MDR Report Key50098028
Report Number2124215-2026-41188
Device Sequence Number16044369
Product Code MCX
UDI-Device Identifier08714729999560
UDI-Public(01)08714729999560(17)280213(10)38596238
Combination Product (Y/N)N
Initial Reporter CountryGM
PMA/510(K) Number
P900056
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) 09/16/2026
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 NumberH749394671250
Device Catalogue NumberH749394671250
Device Lot Number0038596238
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 07/06/2026
Supplement Date Received by Manufacturer08/20/2026
Initial Report FDA Received Date07/31/2026
Supplement Report FDA Received Date09/16/2026
Date Device Manufactured02/13/2026
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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