MAUDE Adverse Event Report: BIOTRONIK AG ORSIRO MISSION US 2.25/15; CORONARY DRUG-ELUTING STENT

Model Number	453937
Medical Device Problem Code	Failure to Advance (2524)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	12/26/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Combination product: yes.Neither the affected device nor the angiographic material was returned.Therefore, no technical investigation on the subject could be performed.The production documentation was reviewed to establish whether a deviation from the manufacturing process could be the cause for the reported event.Review of the production documentation confirmed that the device was manufactured according to specifications and passed all in-process and final inspections.Based on the conducted investigations, no material or manufacturing related root cause could be determined.Considering the physicians event description, the most probable root cause for the complaint event is related to the patients anatomy (i.E., severely calcified target lesion).It should be noted that the ifu clearly states not to re-insert it as the stent and/or the delivery system if the stent system was removed prior to expansion as it may have been damaged during the initial attempt to cross the lesion or during the withdrawal.
Event or Problem Description
The orsiro mission drug-eluting stent system was selected for treatment of a severely calcified lesion in a moderately tortuous segment of the medial lcx.A pre-dilation of the lesion was performed.The affected device was introduced into the patient's body but could not cross the lesion.The target lesion was further pre-dilated and the complaint device was re-inserted but still was not able to cross the lesion.The procedure was stopped and will be re-scheduled for a rotablator preparation of the lesion and following stenting with an orsiro mission.

• Brand Name: ORSIRO MISSION US 2.25/15
• Common Device Name: CORONARY DRUG-ELUTING STENT
• Manufacturer (Section D): BIOTRONIK AG; ackerstrasse 6; bulach, zurich 8180 ; SZ 8180
• Manufacturer (Section G): BIOTRONIK AG; ackerstrasse 6; bulach, zurich 8180 ; SZ 8180
• Manufacturer Contact: jana burger ; ackerstrasse 6; bulach, zurich 8180 ; SZ 8180
• MDR Report Key: 24159224
• Report Number: 8043892-2025-12311
• Device Sequence Number: 15710526
• Product Code: NIQ
• UDI-Device Identifier: 07640130455931
• UDI-Public: (01)07640130455931(17)280623(10)05255165
• Combination Product (Y/N): N
• Initial Reporter State: TX
• Initial Reporter Country: US
• PMA/510(K) Number: P170030
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: User Facility,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 01/23/2026

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: 453937
• Device Lot Number: 05255165
• 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: 12/31/2025
• Initial Report FDA Received Date: 01/23/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 06/25/2025
• 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 Sex: Unknown