Reported Reactions

Devices › Catheters, transluminal coronary angioplasty, percutaneous

Device brand name · Catheters transluminal coronary angioplasty percutaneous

Apex Monorail: medical device reports filed with FDA

603 reports name it, 2007–2011. Manufacturer given most often on reports: Boston Scientific. Product code LOX.

603
device reports naming the brand
0% of all MAUDE reports · about 32 a year
0
reports, 12 months to August 2026
0 in the 12 months before
84.6%
classified as malfunction
85.5% across the product code
1.7%
classified as death, as reported
10 reports · not verified by FDA

FDA's MAUDE database holds 603 reports that name the brand "Apex Monorail" (catheters transluminal coronary angioplasty percutaneous), received between October 2007 and October 2011; the manufacturer given most often on reports is Boston Scientific. Spellings of one product vary from report to report.

0 reports arrived in the 12 months to August 2026, and none in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (84.6%), injury (13.3%) and death (1.7%); across all catheters, transluminal coronary angioplasty, percutaneous reports (product code LOX) death is recorded in 1.3% and malfunction in 85.5%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are balloon rupture (37.5%), material rupture (28.4%) and difficult to remove (4.5%). The patient problems coded most often are intimal dissection, surgical procedure, additional and death. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

No report naming Apex Monorail was received in the five years to August 2026; the latest was received in October 2011.

By year received

01172332007: 420072008: 9620082009: 23320092010: 16620102011: 1042011

Event type and report source

Event type, as classified on the report

Death1.7%10
Injury13.3%80
Malfunction84.6%510
Other0%0
Not given0.5%3

Who filed the report

Manufacturer report99.3%599
Voluntary report0.2%1
User facility report0%0
Distributor report0%0
Not given0.5%3

Grey bar: all 43,618 reports carrying product code LOX. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Balloon rupture22637.5%10.2%
Material rupture17128.4%38.3%
Difficult to removethe device was hard to remove274.5%11.3%
Shaft break203.3%1.9%
Breakthe device broke152.5%7.4%
Failure to advance152.5%5.4%
Balloon burst142.3%1.2%
Inflation problem91.5%5.6%
Kinkedthe tube or line kinked81.3%1.8%
Physical resistance81.3%2.3%
Fracturea broken bone71.2%0.8%
Balloon pinhole61%0.1%
Deflation problem50.8%5.9%
Detachment of device component50.8%4.3%
Device damaged prior to usethe device was damaged before use50.8%0.7%
Entrapment of device50.8%1.5%
Hole in material50.8%0.4%
Sticking50.8%0.7%
Burst container or vessel40.7%2.2%
Detachment of device or device componentpart of the device came off40.7%1.6%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Intimal dissection376.1%
Surgical procedure, additional233.8%
Deaththe patient died; cause not stated by this term122%
No patient involvement91.5%
Perforation91.5%
Perforation of vessels81.3%
Chest painchest pain71.2%
Low blood pressure/ hypotension40.7%
Vascular dissection40.7%
Cardiac tamponade30.5%
Ventricular fibrillationa chaotic rhythm from the lower heart chambers30.5%
Ventricular tachycardiaa fast rhythm from the lower heart chambers30.5%
Cardiac arrestthe heart stopped20.3%
Cardiogenic shockshock from the heart failing to pump20.3%
Device embedded in tissue or plaque20.3%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureApex MonorailProduct code LOXAll MAUDE reports
Reports60343,61826,136,888
Share of that pool—1.4%0%
Classified as death, per 1,000 reports17139
Classified as injury13.3%12.9%36.2%
Classified as malfunction84.6%85.5%62.3%
Filed by the manufacturer99.3%97.7%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code LOX

BrandReportsLatest 12 monthsClassified as death
NC Emerge5,6905431.4%
Nc Trek Coronary Dilatation Catheter4,68900.5%
Emerge3,7241681.8%
NC Quantum Apex?2,518300.8%
Trek Coronary Dilatation Catheter2,20431.1%
Maverick2 Monorail Ptca Catheter1,57901.1%
Mini Trek Coronary Dilatation Catheter1,53800.5%
Maverick?1,337710.4%
Ptca Catheters1,26900.4%
Quantum? Maverick?1,173390.3%
Voyager Nc Coronary Dilatation Catheter74700.5%
Euphora Rx529431.7%
Voyager Rx Coronary Dilatation Catheter73600.7%
Apex876781.3%
Nc Traveler Coronary Dilatation Catheter50400.6%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Apex Monorail reports

How many FDA reports name Apex Monorail?

603 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 0 in the latest 12 months.

What kinds of events are reported?

malfunction (84.6%), injury (13.3%) and death (1.7%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

balloon rupture (37.5%), material rupture (28.4%), difficult to remove (4.5%), shaft break (3.3%) and break (2.5%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.3%) and voluntary reports (0.2%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Apex Monorail was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.