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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION RANGER?; DRUG-ELUTING PERIPHERAL TRANSLUMINAL ANGIOPLASTY CATHETER

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BOSTON SCIENTIFIC CORPORATION RANGER?; DRUG-ELUTING PERIPHERAL TRANSLUMINAL ANGIOPLASTY CATHETER Back to Search Results
Model Number H74939419602010
Medical Device Problem Code Device Markings/Labelling Problem (2911)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/24/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that a packaging issue occurred.The stenosed target lesion was located in the peripheral artery.A 6.0 x 200mm, 150cm ranger balloon catheter was selected for use.Prior to the procedure, it was noted that the outer box and inner package did not correspond with each other.The outer shipping container was intact with no evidence of prior opening or damage.There were no patient complications as a result of this event.
 
Additional Manufacturer Narrative
The device was returned for analysis.Upon visual examination, no damage or issues were identified with the device itself.Additionally, the packaging showed no signs of damage.However, during inspection, it was noted that the information printed on the inner pouch labeling did not match the information printed on the outer box carton labeling.
 
Event or Problem Description
It was reported that a packaging issue occurred.The stenosed target lesion was located in the peripheral artery.A 6.0 x 200mm, 150cm ranger balloon catheter was selected for use.Prior to the procedure, it was noted that the outer box and inner package did not correspond with each other.The outer shipping container was intact with no evidence of prior opening or damage.There were no patient complications as a result of this event.
 
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Brand Name
RANGER?
Common Device Name
DRUG-ELUTING PERIPHERAL TRANSLUMINAL ANGIOPLASTY CATHETER
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
HEMOTEQ AG
adenauerstrasse 15
wuerselen 52146
GM   52146
Manufacturer Contact
rachel shields
4100 hamline ave n
arden hills, MN 55112
6512422111
MDR Report Key22066119
Report Number2124215-2025-32413
Device Sequence Number7811724
Product Code ONU
UDI-Device Identifier08714729976202
UDI-Public(01)08714729976202(17)260821(10)8567H24
Combination Product (Y/N)Y
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
P190019
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 07/08/2025
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 Expiration Date08/21/2026
Device Model NumberH74939419602010
Device Catalogue NumberH74939419602010
Device Lot Number08567H24
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/19/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/24/2025
Supplement Date Received by Manufacturer06/11/2025
Initial Report FDA Received Date05/21/2025
Supplement Report FDA Received Date07/08/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/21/2024
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 SexUnknown
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