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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION ELUVIA?; STENT, SUPERFICIAL FEMORAL ARTERY, DRUG-ELUTING

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BOSTON SCIENTIFIC CORPORATION ELUVIA?; STENT, SUPERFICIAL FEMORAL ARTERY, DRUG-ELUTING Back to Search Results
Model Number H74939294701510
Medical Device Problem Codes Deformation Due to Compressive Stress (2889); Activation, Positioning or Separation Problem (2906)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/28/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the stent partial deployment occurred.The 100% stenosed target lesion was located in the severely tortuous and severely calcified peripheral artery via contralateral femoral approach with through and through access to tibial vessel.A 7x150,130cm eluvia stent was selected for use.During the procedure, the stent deployed about 100cm and then failed.The handle broke apart to reveal catheters underneath to pin and pull and had to straighten the catheters that had coiled under the thumbwheel.Consequently, the stent became stretched or elongated.The procedure was completed with another of same device.There were no patient complications as a result of this event.
 
Additional Manufacturer Narrative
H6 - evaluation conclusion codes: updated.
 
Event or Problem Description
It was reported that the stent partial deployment occurred.The 100% stenosed target lesion was located in the severely tortuous and severely calcified peripheral artery via contralateral femoral approach with through and through access to tibial vessel.A 7x150,130cm eluvia stent was selected for use.During the procedure, the stent deployed about 100cm and then failed.The handle broke apart to reveal catheters underneath to pin and pull and had to straighten the catheters that had coiled under the thumbwheel.Consequently, the stent became stretched or elongated.The procedure was completed with another of same device.There were no patient complications as a result of this event.
 
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Brand Name
ELUVIA?
Common Device Name
STENT, SUPERFICIAL FEMORAL ARTERY, DRUG-ELUTING
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
ballybrit business park
galway
EI  
Manufacturer Contact
rachel shields
4100 hamline ave n
arden hills, MN 55112
6512422111
MDR Report Key23851304
Report Number2124215-2025-92039
Device Sequence Number18502978
Product Code NIU
UDI-Device Identifier08714729876748
UDI-Public(01)08714729876748(17)270523(10)36832475
Combination Product (Y/N)Y
Initial Reporter StateMN
Initial Reporter CountryUS
PMA/510(K) Number
P180011
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) 02/05/2026
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 NumberH74939294701510
Device Catalogue NumberH74939294701510
Device Lot Number0036832475
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 12/10/2025
Supplement Date Received by Manufacturer01/12/2026
Initial Report FDA Received Date12/19/2025
Supplement Report FDA Received Date02/05/2026
Date Device Manufactured05/23/2025
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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