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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION MUSTANG?; STENTS, DRAINS AND DILATORS FOR THE BILIARY DUCTS

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BOSTON SCIENTIFIC CORPORATION MUSTANG?; STENTS, DRAINS AND DILATORS FOR THE BILIARY DUCTS Back to Search Results
Model Number H74939171070470
Medical Device Problem Code Failure to Deflate (4060)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/14/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the balloon failed to deflate properly.The 60% stenosed target lesion was located in the iliac artery.The vessel exhibited more than moderate tortuosity and mild calcification.A 7.0 x 40 mm, 75 cm mustang balloon catheter was advanced for dilatation.During the procedure, the balloon was inflated to nominal pressure and held for approximately 30 seconds.However, the balloon did not deflate properly.There was no issue removing the device even though it did not deflate properly.The balloon could not be reused to re-cross the lesion, so the procedure was completed with another of the same device.There were no patient complications as a result of this event.
 
Additional Manufacturer Narrative
E1 - initial reporter phone: (b)(6) reported here as phone number exceeded character limit for designated field.
 
Additional Manufacturer Narrative
E1 - initial reporter phone: (b)(6) reported here as phone number exceeded character limit for designated field.Investigation results: the device is not expected to be returned for analysis; therefore, a technical analysis could not be performed.Device history record: it was confirmed this device met manufacturing specification prior to distribution and there were no manufacturing deviations which could have contributed to the reported event.Labeling review: review of the instructions for use (ifu) confirmed there was relevant content and sufficient guidance with respect to the circumstances described within this complaint.No updates are required to the ifu as a result of this event.Risk review: a risk review performed for the mustang device defined in the product's risk management documentation.This event type has been accounted for during product risk analysis to support acceptable risk benefits for the product.Conclusion: based on a thorough review of the reported complaint, boston scientific has assigned an investigation conclusion code of adverse event related to patient condition.
 
Event or Problem Description
It was reported that the balloon failed to deflate properly.The 60% stenosed target lesion was located in the iliac artery.The vessel exhibited more than moderate tortuosity and mild calcification.A 7.0 x 40 mm, 75 cm mustang balloon catheter was advanced for dilatation.During the procedure, the balloon was inflated to nominal pressure and held for approximately 30 seconds.However, the balloon did not deflate properly.There was no issue removing the device even though it did not deflate properly.The balloon could not be reused to re-cross the lesion, so the procedure was completed with another of the same device.There were no patient complications as a result of this event.
 
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Brand Name
MUSTANG?
Common Device Name
STENTS, DRAINS AND DILATORS FOR THE BILIARY DUCTS
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
pmt 741 persiaran cassia selat
bandarcassia, pulau pinan 14110
MY   14110
Manufacturer Contact
mark mischke
4100 hamline ave n
arden hills, MN 55112
7634941632
MDR Report Key23810890
Report Number2124215-2025-86791
Device Sequence Number9270432
Product Code FGE
UDI-Device Identifier08714729793342
UDI-Public(01)08714729793342(17)280723(10)37044690
Combination Product (Y/N)N
Initial Reporter CountryKS
PMA/510(K) Number
K141521
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) 04/14/2026
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 NumberH74939171070470
Device Catalogue NumberH74939171070470
Device Lot Number0037044690
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 11/20/2025
Supplement Date Received by Manufacturer03/23/2026
Initial Report FDA Received Date12/15/2025
Supplement Report FDA Received Date04/14/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/24/2025
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 Age82 YR
Patient SexMale
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