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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION STERLING?; CATHETER, PERCUTANEOUS

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BOSTON SCIENTIFIC CORPORATION STERLING?; CATHETER, PERCUTANEOUS Back to Search Results
Model Number H74939032702110
Medical Device Problem Codes Material Rupture (1546); Material Integrity Problem (2978)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/10/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that balloon damage occurred.A 7.0x200x150 cm sterling catheter was advanced for dilation.During the procedure, the balloon did not function correctly.Upon removal from the patient, a melted divot was observed in the balloon.It was popped open outside the patient, but the divot remained.The balloon was replaced, and the procedure was completed.There were no patient complications as a result of this event.
 
Additional Manufacturer Narrative
Device evaluated by mfr: the sterling device was returned for analysis.The outer shaft, inner shaft, balloon and tip were visually and microscopically examined.Visual examination revealed that the balloon has a twist 11cm from the tip.Microscopic examination revealed no additional damages.Functional testing was performed by inflating the balloon to rate burst pressure.The balloon was able to inflate and hold pressure.No other issues were identified with the device.
 
Event or Problem Description
It was reported that balloon damage occurred.A 7.0x200x150 cm sterling catheter was advanced for dilation.During the procedure, the balloon did not function correctly.Upon removal from the patient, a melted divot was observed in the balloon.It was popped open outside the patient, but the divot remained.The balloon was replaced, and the procedure was completed.There were no patient complications as a result of this event.
 
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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 Key22742369
Report Number2124215-2025-53718
Device Sequence Number12583544
Product Code LIT
UDI-Device Identifier08714729845553
UDI-Public(01)08714729845553(17)270808(10)34601262
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
PMA/510(K) Number
K132430
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) 09/03/2025
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 NumberH74939032702110
Device Catalogue NumberH74939032702110
Device Lot Number0034601262
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/29/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/11/2025
Supplement Date Received by Manufacturer08/06/2025
Initial Report FDA Received Date08/07/2025
Supplement Report FDA Received Date09/03/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/08/2024
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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