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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 Failure to Advance (2524); Intermittent Loss of Power (4016)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/19/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the procedure was aborted.The 99% stenosed target lesion was located in the severely tortuous and severely calcified left circumflex artery.A 1.25mm rotapro was selected for use.During procedure, inspite of repeated pre-dilation, advancing difficulties was experienced at the lesion location and repeat stall indication was observed.Hence, the procedure was aborted and sent for cabg.There were no patient complications.
 
Additional Manufacturer Narrative
E1 initial reporter address 1: (b)(6).
 
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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
model farm road
cork T12 Y K88
EI   T12 YK88
Manufacturer Contact
mark mischke
4100 hamline ave n
arden hills, MN 55112
+1(763)494-1632
MDR Report Key50181200
Report Number2124215-2026-42525
Device Sequence Number20887103
Product Code MCX
UDI-Device Identifier08714729999560
UDI-Public(01)08714729999560(17)270501(10)36420044
Combination Product (Y/N)N
Initial Reporter CountryIN
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,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 09/09/2026
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 Number0036420044
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 Manufacturer08/20/2026
Initial Report FDA Received Date08/07/2026
Supplement Report FDA Received Date09/09/2026
Date Device Manufactured05/01/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient Age72 YR
Patient SexMale
Patient Weight209 LB
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