MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION COYOTE?; CATHETER, ANGIOPLASTY, PERIPHERAL, TRANSLUMINAL

Model Number	H74939186150410
Medical Device Problem Code	Nonstandard Device (1420)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	12/23/2025
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that the balloon length was shorter than expected.A 1.5mm x 40mm x 150cm coyote balloon catheter was selected for use.During the procedure, the balloon length was too short to be inflated across the long anterior tibial artery lesion.The procedure was completed with this device.There were no patient complications as a result of this event.
Additional Manufacturer Narrative
Device evaluated by mfr: the coyote device was returned to our post market quality assurance laboratory.The outer shaft, inner shaft, balloon, and tip were visually and microscopically examined.Visual examination showed no issues.Functional testing was completed by using an inflations device filled with water to inflate and hold water at nominal pressure.The balloon held pressure and was deflated with no issues.Inspection of the remainder of the device presented no other damage or irregularities.This concludes the product analysis.
Event or Problem Description
It was reported that the balloon length was shorter than expected.A 1.5mm x 40mm x 150cm coyote balloon catheter was selected for use.During the procedure, the balloon length was too short to be inflated across the long anterior tibial artery lesion.The procedure was completed with this device.There were no patient complications as a result of this event.

• Brand Name: COYOTE?
• Common Device Name: CATHETER, ANGIOPLASTY, PERIPHERAL, TRANSLUMINAL
• 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 Key: 24119926
• Report Number: 2124215-2026-03636
• Device Sequence Number: 6075908
• Product Code: LIT
• UDI-Device Identifier: 08714729796411
• UDI-Public: (01)08714729796411(17)260402(10)31355447
• Combination Product (Y/N): N
• Initial Reporter Country: KS
• PMA/510(K) Number: K111295
• 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
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 03/03/2026

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 Expiration Date: 04/02/2026
• Device Model Number: H74939186150410
• Device Catalogue Number: H74939186150410
• Device Lot Number: 0031355447
• 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: 12/23/2025
• Supplement Date Received by Manufacturer: 02/06/2026
• Initial Report FDA Received Date: 01/20/2026
• Supplement Report FDA Received Date: 03/03/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 04/03/2023
• 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: 86 YR
• Patient Sex: Male