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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); Material Puncture/Hole (1504)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/20/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the catheter ruptured.A 6f guidezilla ii was selected for use.At the course of the procedure, prior to performing a coronary stent implantation, a catheter rupture was detected.The procedure was completed with another of the same device.There were no patient complications.
 
Additional Manufacturer Narrative
E1 - initial reporter facility name: (b)(6) hospital.E1 - initial reporter address 1: (b)(6).E1 - initial reporter phone: (b)(6).
 
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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(612)875-7234
MDR Report Key50531510
Report Number2124215-2026-45829
Device Sequence Number10163333
Product Code DQY
UDI-Device Identifier08714729939450
UDI-Public(01)08714729939450(17)270423(10)36352549
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,User Facility
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 09/29/2026
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 Number0036352549
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 08/02/2026
Supplement Date Received by Manufacturer09/04/2026
Initial Report FDA Received Date08/31/2026
Supplement Report FDA Received Date09/29/2026
Date Device Manufactured04/23/2025
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 Age79 YR
Patient SexMale
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