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U.S. Department of Health and Human Services

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

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BOSTON SCIENTIFIC CORPORATION MUSTANG?; STENTS, DRAINS AND DILATORS FOR THE BILIARY DUCTS Back to Search Results
Model Number H74939171070470
Medical Device Problem Code Material Rupture (1546)
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
It was reported that a balloon rupture occurred.A 7.0 x 40, 75cm mustang balloon catheter was advanced for dilatation.During the initial inflation at rated burst pressure, the balloon ruptured.The device could be normally removed, and the procedure was not completed due to this event.There were no patient complications as a result of this event.
 
Additional Manufacturer Narrative
D2b: pro code: (product code): fge, lit.E1: initial reporter facility name: (b)(6).G4: premarket / 510(k): k141521, k141597.Good faith effort attempts were made to try and retrieve additional details regarding the reported event, but further information was unable to be obtained.
 
Additional Manufacturer Narrative
D2b: pro code: (product code): fge, lit.E1: initial reporter facility name: (b)(6).G4: premarket / 510(k): k141521, k141597.Investigation results: the device was not returned for analysis; therefore, a technical analysis could not be performed.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 that the content was sufficient and did not contribute to the reported event; therefore, no updates are required to the document at this time.Risk review: a risk review performed for the mustang device confirmed that the event of balloon material rupture is a known event defined in the products risk management documentation.This event type has been accounted for during product risk analysis to support acceptable risk benefit for the product.Conclusion: this investigation is assigned a conclusion code of unable to exclude device problem because of the severely limited detail of the reported information, the absence of any clarifying details from follow-up communications, and the inability to examine the alleged device.In this case, significantly more information and/or an analysis of the returned device would most likely be required to clarify the cause of the event.
 
Event or Problem Description
It was reported that a balloon rupture occurred.A 7.0 x 40, 75cm mustang balloon catheter was advanced for dilatation.During the initial inflation at rated burst pressure, the balloon ruptured.The device could be normally removed, and the procedure was not completed due to this event.There were no patient complications as a result of this event.
 
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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 Key24293592
Report Number2124215-2026-07204
Device Sequence Number18695252
Product Code FGE
UDI-Device Identifier08714729793342
UDI-Public(01)08714729793342(17)281112(10)37947605
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K141521
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,Followup
Report Date (Section B) 03/18/2026
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 NumberH74939171070470
Device Catalogue NumberH74939171070470
Device Lot Number0037947605
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 01/19/2026
Supplement Date Received by Manufacturer03/11/2026
Initial Report FDA Received Date02/09/2026
Supplement Report FDA Received Date03/18/2026
Date Device Manufactured11/13/2025
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 Number1
Patient SexUnknown
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