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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 H74939148301510
Medical Device Problem Code Material Rupture (1546)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/29/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that balloon damage occurred.A 60-year-old male patient underwent a balloon angioplasty for right lower extremity arterial occlusion.A 3.0mm x 150mm x 150cm sterling sl balloon catheter was advanced for dilation.During the procedure, the initial balloon catheter was damaged due to vessel calcification and failed to inflate properly.The balloon was ruptures once at 10 atmosphere per second.After inflation, the contrast agent leaked out and the balloon retracted rapidly.The balloon was removed along the guide wire.The procedure was completed with another of same device.There were no patient complications as a result of this event.
 
Additional Manufacturer Narrative
E1 - initial reporter facility name: (b)(6).E1 - initial reporter address 1: (b)(6).E1- initial reporter phone: (b)(6).
 
Event or Problem Description
It was reported that balloon damage occurred.A 60-year-old male patient underwent a balloon angioplasty for right lower extremity arterial occlusion.A 3.0mm x 150mm x 150cm sterling sl balloon catheter was advanced for dilation.During the procedure, the initial balloon catheter was damaged due to vessel calcification and failed to inflate properly.The balloon was ruptures once at 10 atmosphere per second.After inflation, the contrast agent leaked out and the balloon retracted rapidly.The balloon was removed along the guide wire.The procedure was completed with another of same device.There were no patient complications as a result of this event.
 
Additional Manufacturer Narrative
E1 - initial reporter facility name: (b)(6).E1 - initial reporter address 1: (b)(6).E1- initial reporter phone: (b)(6).Device evaluated by mfr.: returned product consisted of a sterling sl balloon catheter.The outer shaft, inner shaft, balloon and tip were visually and microscopically examined.Visual examination revealed no damages.Microscopic examination revealed a longitudinal tear in the balloon 62mm from the tip and is approximately 53mm long.Inspection of the remainder of the device presented no other damage or irregularities.Product analysis confirmed there is a longitudinal tear in the balloon.
 
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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 Key23373714
Report Number2124215-2025-74626
Device Sequence Number8915922
Product Code LIT
UDI-Device Identifier08714729782315
UDI-Public(01)08714729782315(17)260906(10)34792226
Combination Product (Y/N)N
Initial Reporter CountryCH
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 Other,Foreign,Health Professional,Company Representative,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 12/17/2025
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 Date09/06/2026
Device Model NumberH74939148301510
Device Catalogue NumberH74939148301510
Device Lot Number0034792226
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 09/29/2025
Supplement Date Received by Manufacturer11/26/2025
Initial Report FDA Received Date10/23/2025
Supplement Report FDA Received Date12/17/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/06/2024
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 Age60 YR
Patient SexMale
Patient Weight77 KG
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