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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION STERLING SL; CATHETER, ANGIOPLASTY, PERIPHERAL, TRANSLUMINAL

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BOSTON SCIENTIFIC CORPORATION STERLING SL; CATHETER, ANGIOPLASTY, PERIPHERAL, TRANSLUMINAL Back to Search Results
Model Number H74939148401510
Medical Device Problem Codes Difficult to Remove (1528); Failure to Deflate (4060)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/13/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that balloon deflation issue occurred.The 80% stenosed target lesion was located in a mildly tortuous and mildly calcified vessel.A 4.0mm x 150mm x 150cm sterling sl balloon catheter with a saline-contrast ratio of 70/30 was advanced for dilation.The balloon was inflated at 6 atmospheres per minute.Upon deflation, it was noted that the balloon was very slow to deflate and hard to remove.The physician waited for a few minutes for the balloon to deflate and was removed intact from the patient.The procedure was completed using this device.There were no patient complications as a result of this event.
 
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Brand Name
STERLING SL
Common Device Name
CATHETER, ANGIOPLASTY, PERIPHERAL, TRANSLUMINAL
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
two scimed place
maple grove MN 55311
Manufacturer Contact
rachel shields
4100 hamline ave n
arden hills, MN 55112
6512422111
MDR Report Key22170072
Report Number2124215-2025-36796
Device Sequence Number7957567
Product Code DQY
UDI-Device Identifier08714729782384
UDI-Public(01)08714729782384(17)270102(10)35545740
Combination Product (Y/N)N
Initial Reporter StateGA
Initial Reporter CountryUS
PMA/510(K) Number
K093720
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 Other Health Care Professional
Type of Report Initial
Report Date (Section B) 06/09/2025
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 Model NumberH74939148401510
Device Catalogue NumberH74939148401510
Device Lot Number0035545740
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 05/14/2025
Initial Report FDA Received Date06/09/2025
Date Device Manufactured01/02/2025
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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