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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BARD PERIPHERAL VASCULAR, INC. ATLAS GOLD; PTA BALLOON DILATATION CATHETER

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BARD PERIPHERAL VASCULAR, INC. ATLAS GOLD; PTA BALLOON DILATATION CATHETER Back to Search Results
Catalog Number ATG80144
Medical Device Problem Codes Deflation Problem (1149); Improper or Incorrect Procedure or Method (2017)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/05/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
H11: as the lot number for the device was not provided, a review of the device history records could not be performed.The sample was not returned to the manufacturer for inspection/evaluation.Therefore, the investigation of the reported event is inconclusive.Based upon the available information, the definitive root cause for this event is unknown.The instructions for use (ifu) is adequate for the reported device/patient code(s) and provides general instructions for use, as well as warnings, precautions and potential complications associated with the device.Upon receipt of new or additional information, a follow-up report will be submitted as applicable.D2b (dqy;lit).Section a through f - the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
Event or Problem Description
On (b)(6) 2025, a patient underwent an esophageal dilatation procedure by using an atlas gold balloon catheter.It was reported that during the procedure, the balloon allegedly failed to fully deflate as intended.As a result, the catheter had to be removed while partially inflated, causing some patient distress.There was no reported patient injury.
 
Additional Manufacturer Narrative
H11: manufacturing review: a manufacturing review was not requested as the lot number reported as unknown.Investigation summary: the physical device was not returned for evaluation.No photos were provided for review.Therefore, the investigation is inconclusive for the reported failure as no objective evidence provided for review.However, the investigation is confirmed for the incorrect use of device as it was used out of the device¿s intended purpose.A definitive root cause for the reported deflation issue could not be determined based upon the provided information.Labeling review: a review of product labeling documentation (e.G., procedural instructions, indications, warnings, precautions, cautions, possible complications, contraindications, nursing guide, and unit label) did not find any product labeling inadequacy.Atlas gold pta dilatation catheter instruction for use was reviewed.Instruction for use, the atlas gold pta dilatation catheter is intended for dilating stenoses in the peripheral vasculature and treating obstructive lesions of av fistulae.It is not indicated for use in coronary arteries or other non-peripheral locations.The reported use in the oesophageal canal is outside the device¿s intended purpose.This is therefore against the ifu and considered a use-related issue.D2b (lit; dqy), d1, d4 (medical device catalog number), d4 (medical device lot number), d4 (unique identifier (udi) #), g2, g3.Section a through f: the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
Event or Problem Description
On (b)(6) 2025, a patient underwent an esophageal dilatation procedure by using an atlas gold balloon catheter.It was reported that during the procedure, the balloon allegedly failed to fully deflate as intended.As a result, the catheter had to be removed while partially inflated, causing some patient distress.There was no reported patient injury.
 
Additional Manufacturer Narrative
H11: manufacturing review: a manufacturing review was not requested as the lot number reported as unknown.Investigation summary: the physical device was not returned for evaluation.No photos were provided for review.Therefore, the investigation is inconclusive for the reported failure as no objective evidence provided for review.However, the investigation is confirmed for the incorrect use of device as it was used out of the device¿s intended purpose.A definitive root cause for the reported deflation issue could not be determined based upon the provided information.Labeling review: a review of product labeling documentation (e.G., procedural instructions, indications, warnings, precautions, cautions, possible complications, contraindications, nursing guide, and unit label) did not find any product labeling inadequacy.Atlas gold pta dilatation catheter instruction for use was reviewed.Per instruction for use, the atlas¿ gold pta dilatation catheter is intended for dilating stenoses in the peripheral vasculature and treating obstructive lesions of av fistulae.It is not indicated for use in coronary arteries or other non-peripheral locations.The reported use in the esophageal canal is outside the device¿s intended purpose.This is therefore against the ifu and considered a use-related issue.G3, h6 (component, result, conclusion).Section a through f - the information provided by bd represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
Event or Problem Description
On (b)(6) 2025, a patient underwent an esophageal dilatation procedure by using an atlas gold balloon catheter.It was reported that during the procedure, the balloon allegedly failed to fully deflate as intended.As a result, the catheter had to be removed while partially inflated, causing some patient distress.There was no reported patient injury.
 
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Brand Name
ATLAS GOLD
Common Device Name
PTA BALLOON DILATATION CATHETER
Manufacturer (Section D)
BARD PERIPHERAL VASCULAR, INC.
1625 w 3rd st.
tempe AZ 85281
Manufacturer (Section G)
FUTUREMATRIX INTERVENTIONAL
1605 enterprise street
athens 75751
Manufacturer Contact
brett curtice
800 w. rio salado pkwy
tempe, AZ 85281
4803032689
MDR Report Key23919801
Report Number2020394-2025-02274
Device Sequence Number18402400
Product Code LIT
UDI-Device Identifier00801741060755
UDI-Public(01)00801741060755(17)280807(10)93VK0024
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
K122984
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup,Followup
Report Date (Section B) 02/13/2026
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 Catalogue NumberATG80144
Device Lot Number93VK0024
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 12/05/2025
Supplement Date Received by Manufacturer01/07/2026
01/27/2026
Initial Report FDA Received Date12/30/2025
Supplement Report FDA Received Date01/09/2026
02/13/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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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