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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION Guidezilla? II; catheter, percutaneous

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BOSTON SCIENTIFIC CORPORATION Guidezilla? II; catheter, percutaneous Back to Search Results
Model Number H7493933515060
Medical Device Problem Codes Break (1069); Difficult to Remove (1528); Deformation Due to Compressive Stress (2889); Difficult to Advance (2920); Material Deformation (2976)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/28/2026
Type of Reportable Event Malfunction
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Brand Name
Guidezilla? II
Common Device Name
catheter, percutaneous
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
Boston Scientific Corporation
two scimed place
maple grove MN 55311
Manufacturer Contact
mark mischke
4100 hamline ave n
arden hills, MN 55112
+1(763)494-1632
MDR Report Key50360069
Report Number2124215-2026-45030
Device Sequence Number6039327
Product Code DQY
UDI-Device Identifier08714729939450
UDI-Public(01)08714729939450(17)270729(10)37076002
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K163314
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) 09/16/2026
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 NumberH7493933515060
Device Catalogue NumberH7493933515060
Device Lot Number0037076002
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 Not provided
Supplement Date Received by Manufacturer08/26/2026
Initial Report FDA Received Date08/20/2026
Supplement Report FDA Received Date09/16/2026
Date Device Manufactured07/29/2025
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 Age64 YR
Patient SexMale
Patient Weight154 LB
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