| Brand Name | V-18 Control Wire |
| Common Device Name | wire, guide, catheter |
| Manufacturer (Section D) |
| BOSTON SCIENTIFIC CORPORATION |
| 300 boston scientific way |
| marlborough MA 01752 |
|
| Manufacturer (Section G) |
| Boston Scientific Corporation |
| 302 parkway, global park |
|
| la aurora - heredia |
|
CS
|
|
| Manufacturer Contact |
|
mark
mischke
|
| 4100 hamline ave n |
| arden hills, MN 55112
|
|
+1(612)875-7234
|
|
| MDR Report Key | 50810327 |
| Report Number | 2124215-2026-49820 |
| Device Sequence Number | 16096083 |
| Product Code |
DQX
|
| UDI-Device Identifier | 08714729070191 |
| UDI-Public | (01)08714729070191(17)271121(10)38023210 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | AS |
| PMA/510(K) Number | K033742 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/17/2026 |
| 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 Number | 40495 |
| Device Catalogue Number | 40495 |
| Device Lot Number | 0038023210 |
| 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 | 08/27/2026 |
| Initial Report FDA Received Date | 09/17/2026 |
| Date Device Manufactured | 11/21/2025 |
| Is the Device Labeled for Single Use? (Y/N) |
Yes
|
| Usage of Device |
Initial
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|