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

Model Number	H74939171041510
Medical Device Problem Code	Material Rupture (1546)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	12/30/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
E1: initial reporter phone(b)(6).G4: premarket / 510(k): k103751, k110122, k141521 good faith effort attempts were made to try and retrieve device status and additional details regarding the reported event, but further information was unable to be obtained.
Event or Problem Description
It was reported that a ballon rupture occurred.During embolization of a thoracic aortic aneurysm, a 4.0 x 150, 135cm mustang balloon catheter was used for dilatation following puncture and fenestration of the brachial artery.However, during the inflation, the balloon burst.The procedure was completed with a 4 x 40 balloon.No patient complications occurred as a result of this event.
Additional Manufacturer Narrative
B5, describe event or problem: updated to include new information obtained.E1: initial reporter phone: (b)(6).G4: premarket / 510(k): k103751, k110122, k141521.
Event or Problem Description
It was reported that a ballon rupture occurred.During embolization of a thoracic aortic aneurysm, a 4.0 x 150, 135cm mustang balloon catheter was used for dilatation following puncture and fenestration of the brachial artery.However, during the inflation, the balloon burst.The procedure was completed with a 4 x 40 balloon.No patient complications occurred as a result of this event.It was further reported that the stenosed target lesion, which exhibited 70%, was located in the mildly tortuous and non-calcified subclavian artery.The patient's anatomy was not considered difficult to manage.The procedure was performed under general anesthesia, and no patient-related factors were involved.Additionally, no procedural factors were found to have contributed to the reported event.
Additional Manufacturer Narrative
E1: initial reporter phone: (b)(6).G4: premarket / 510(k): k103751, k110122, k141521.Investigation results: device evaluated by mfr: the mustang device was returned for analysis.A visual examination identified that the balloon was not folded which indicates that the balloon was subjected to positive pressure.The rated burst pressure for this device is 24 atmospheres as per mustang specification.The returned device was attached to an inflation unit.Positive pressure was applied when di water was observed to be leaking from a balloon pinhole located approximately 1mm distal from the distal markerband, which confirms the event.A visual examination of the markerbands identified no issues.A visual and tactile examination identified no kinks or damage to the shaft.A visual and tactile examination identified no damage to the tip.No other issues were identified during the product analysis.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 confirmed that the balloon- material rupture is a known event 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 ofadverse event related to patient condition.
Event or Problem Description
It was reported that a balloon rupture occurred.During embolization of a thoracic aortic aneurysm, a 4.0 x 150, 135cm mustang balloon catheter was used for dilatation following puncture and fenestration of the brachial artery.However, during the inflation, the balloon burst.The procedure was completed with a 4 x 40 balloon.No patient complications occurred as a result of this event.It was further reported that the stenosed target lesion, which exhibited 70%, was located in the mildly tortuous and non-calcified subclavian artery.The patient's anatomy was not considered difficult to manage.The procedure was performed under general anesthesia, and no patient-related factors were involved.Additionally, no procedural factors were found to have contributed to the reported event.

• 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: rachel shields ; 4100 hamline ave n; arden hills, MN 55112 ; 6512422111
• MDR Report Key: 24067334
• Report Number: 2124215-2026-02377
• Device Sequence Number: 10267301
• Product Code: FGE
• UDI-Device Identifier: 08714729793694
• UDI-Public: (01)08714729793694(17)280303(10)35981160
• Combination Product (Y/N): N
• Initial Reporter Country: CH
• PMA/510(K) Number: K103751
• Number of Events Summarized: 1
• 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,Followup
• Report Date (Section B): 03/31/2026

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 Number: H74939171041510
• Device Catalogue Number: H74939171041510
• Device Lot Number: 0035981160
• 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: 01/04/2026
• Supplement Date Received by Manufacturer: 01/14/2026; 03/06/2026
• Initial Report FDA Received Date: 01/14/2026
• Supplement Report FDA Received Date: 02/03/2026; 03/31/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 03/04/2025
• 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 Number: 1
• Patient Age: 78 YR
• Patient Sex: Male
• Patient Weight: 62 KG