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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION STERLING; CATHETER, PERCUTANEOUS

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BOSTON SCIENTIFIC CORPORATION STERLING; CATHETER, PERCUTANEOUS Back to Search Results
Model Number 24700
Medical Device Problem Codes Inflation Problem (1310); Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/31/2025
Type of Reportable Event Malfunction
Event or Problem Description
Reportable based on device analysis completed on 17dec2025.It was reported that balloon did not fully expand.The severely stenosed target lesion was located in the arteriovenous fistula.A 4.0mmx60mmx135cm (4f) sterling balloon catheter was advanced for dilation.During the procedure, the balloon was inflated up to 23 atmospheres, however the balloon did not fully expand in the lesion.The procedure was completed with a different device.There were no patient complications as a result of this event.However, device analysis revealed that the balloon is separated 7mm from the tip.
 
Additional Manufacturer Narrative
Device evaluated by mfr: the device was returned for evaluation.The outer shaft, inner shaft, balloon and tip were visually and microscopically examined.Visual examination revealed that the balloon is separated 7mm from the tip.The guidewire lumen is buckled 5mm from the tip.Microscopic examination revealed no additional damages.No other issues were identified during the product analysis.
 
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Brand Name
STERLING
Common Device Name
CATHETER, PERCUTANEOUS
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 Key24069315
Report Number2124215-2026-02380
Device Sequence Number21403030
Product Code LIT
UDI-Device Identifier08714729123644
UDI-Public(01)08714729123644(17)280330(10)36194004
Combination Product (Y/N)N
Initial Reporter CountryKS
PMA/510(K) Number
K053116
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
Report Date (Section B) 01/14/2026
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 Number24700
Device Catalogue Number24700
Device Lot Number0036194004
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/01/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/17/2025
Initial Report FDA Received Date01/14/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/31/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient Age69 YR
Patient SexMale
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