• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION SYNERGY XD; CORONARY DRUG-ELUTING STENT

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

BOSTON SCIENTIFIC CORPORATION SYNERGY XD; CORONARY DRUG-ELUTING STENT Back to Search Results
Lot Number 0031634169
Device Problems Unsealed Device Packaging (1444); Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/14/2024
Event Type  malfunction  
Event Description
It was reported that an incomplete packaging seal occurred.During preparation of a 4.00 x 48mm synergy xd drug-eluting stent, it was noticed that the stent was already uncoiled at the end when taken out of the packaging.The package was not completely sealed.The procedure was completed with another of the same device.No patient complications reported.
 
Manufacturer Narrative
Device evaluated by the manufacturer.A synergy xd mr ous 4.00 x 48mm catheter batch was returned for analysis.The device was received without any of its original packaging.A visual and tactile examination identified no kinks or damages.A visual examination of the crimped stent revealed damage at the distal end.A microscopic examination of the hypotube detected no kinks or damages.Microscopic examination of the distal extrusion found no damages.Detailed microscopic examination of the balloon material revealed no damages; the balloon did not appear to have been subjected to any positive pressures.Microscopic examination of the crimped stent detected damage at the distal end, with stent struts at the distal section pulled distally towards the tip section of the device.Microscopic examination of the tip section found no damage.The undamaged crimped stent od (outer diameter) was measured using a snap gauge, which is within the maximum crimped stent profile measurement.
 
Event Description
It was reported that an incomplete packaging seal occurred.During preparation of a 4.00 x 48mm synergy xd drug-eluting stent, it was noticed that the stent was already uncoiled at the end when taken out of the packaging.The package was not completely sealed.The procedure was completed with another of the same device.No patient complications reported.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
SYNERGY XD
Type of Device
CORONARY DRUG-ELUTING STENT
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
ballybrit business park
galway
EI  
Manufacturer Contact
rachel shields
4100 hamline ave n
arden hills, MN 55112
6512422111
MDR Report Key18651026
MDR Text Key334766372
Report Number2124215-2024-06465
Device Sequence Number1
Product Code NIQ
Combination Product (y/n)Y
Reporter Country CodeUK
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 03/13/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/06/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Lot Number0031634169
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/27/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured05/08/2023
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
-
-