| Brand Name | ACUITY Whisper View¿ |
| Common Device Name | WIRE, GUIDE, CATHETER |
| Manufacturer (Section D) |
| BOSTON SCIENTIFIC CORPORATION |
| 4100 hamline ave n |
| saint paul MN 55112 |
|
| MDR Report Key | 50896737 |
| Report Number | 50896737 |
| Device Sequence Number | 5903549 |
| Product Code |
DQX
|
| UDI-Device Identifier | 00802526512988 |
| UDI-Public | (01)00802526512988 |
| Combination Product (Y/N) | N |
| Initial Reporter State | OH |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
User Facility
|
| Initial Reporter Occupation |
Nurse
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/17/2026 |
| Report Date (Section F) |
08/17/2026 |
| 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 | 4648 |
| Device Lot Number | 39350447 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Was the Report Sent to FDA? |
Yes
|
| Event Location |
Hospital
|
| Date Report to Manufacturer | 09/25/2026 |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 09/25/2026 |
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Female |
| Patient Weight | 152 LB |
| Date Report Sent to FDA | 08/17/2026 |
|
|