• 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 STERLING?; CATHETER, PERCUTANEOUS

  • 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 STERLING?; CATHETER, PERCUTANEOUS Back to Search Results
Model Number H74939032300410
Medical Device Problem Code Material Rupture (1546)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/25/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that balloon rupture occurred.The stenosed target lesion was located in the not tortuous and moderately calcified popliteal artery.A 3.0x40x150 sterling balloon catheter was advanced for dilatation.During the procedure, balloon burst at the first inflation.The device was removed without any problem, and the procedure was completed with another of the same device.There were no patient complications as a result of this event.
 
Additional Manufacturer Narrative
The device was returned for evaluation.The outer shaft, inner shaft, balloon, and tip were subjected to both visual and microscopic examination.No damage was identified during visual inspection.Microscopic analysis revealed a longitudinal tear in the balloon, located approximately 8 mm from the tip and measuring about 8 mm in length.Examination of the remaining components showed no additional damage or irregularities.The product analysis confirmed the presence of a longitudinal tear in the balloon.
 
Event or Problem Description
It was reported that balloon rupture occurred.The stenosed target lesion was located in the not tortuous and moderately calcified popliteal artery.A 3.0x40x150 sterling balloon catheter was advanced for dilatation.During the procedure, balloon burst at the first inflation.The device was removed without any problem, and the procedure was completed with another of the same device.There were no patient complications as a result of this event.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
STERLING?
Common Device Name
CATHETER, PERCUTANEOUS
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 Key22553751
Report Number2124215-2025-48513
Device Sequence Number13186831
Product Code LIT
UDI-Device Identifier08714729860136
UDI-Public(01)08714729860136(17)280106(10)35558960
Combination Product (Y/N)N
Initial Reporter CountryTW
PMA/510(K) Number
K141112
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 09/09/2025
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 NumberH74939032300410
Device Catalogue NumberH74939032300410
Device Lot Number0035558960
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/27/2025
Supplement Date Received by Manufacturer08/18/2025
Initial Report FDA Received Date07/21/2025
Supplement Report FDA Received Date09/09/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured01/06/2025
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
-
-