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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION ADVANIX¿ BILIARY; CATHETER, BILIARY, DIAGNOSTIC

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BOSTON SCIENTIFIC CORPORATION ADVANIX¿ BILIARY; CATHETER, BILIARY, DIAGNOSTIC Back to Search Results
Model Number M00534270
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/19/2026
Type of Reportable Event Malfunction
Event or Problem Description
Biliary stent failed to release during pts ercp [endoscopic retrograde cholangiopancreatography].Had to remove faulty equipment from pt's biliary duct and then re-cannulate to place another stent.Second stent deployed without issue.
 
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Brand Name
ADVANIX¿ BILIARY
Common Device Name
CATHETER, BILIARY, DIAGNOSTIC
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
MDR Report Key24229059
Report Number24229059
Device Sequence Number10229305
Product Code FGE
UDI-Device Identifier08714729787365
UDI-Public(01)08714729787365
Combination Product (Y/N)N
Initial Reporter StateNC
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type User Facility
Initial Reporter Occupation Risk Manager
Type of Report Initial
Report Date (Section B) 01/21/2026
Report Date (Section F) 01/21/2026
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 NumberM00534270
Device Catalogue NumberM00534270
Device Lot Number37874306
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? Yes
Event Location Hospital
Date Report to Manufacturer02/02/2026
Initial Date Received by Manufacturer Not provided
Initial Report FDA Received Date02/02/2026
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexFemale
Date Report Sent to FDA01/21/2026
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