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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION RENEGADE? HI-FLO? KIT; CATHETER, CONTINUOUS FLUSH

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BOSTON SCIENTIFIC CORPORATION RENEGADE? HI-FLO? KIT; CATHETER, CONTINUOUS FLUSH Back to Search Results
Model Number M001183020
Medical Device Problem Codes Break (1069); Deformation Due to Compressive Stress (2889)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/26/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
E1: initial reporter facility name and city: (b)(6).
 
Event or Problem Description
It was reported that microcatheter fracture occurred.A 135/10 kit renegade hi flo was selected for use.Prior to procedure, it was noted that the microcatheter was kinked and fractured.The procedure was completed with another of the same device.There were no patient complications as a result of this event.
 
Additional Manufacturer Narrative
(b)(6).Investigation results: device analysis findings: the returned device consists of renegade hi flo with a guidewire inserted and a torque device attached to the guidewire while inserted in the carrier hoop.The device was examined visually to reveal two outer shaft liner fractures, located approximately 1.5cm from the hub and 23.5cm from the hub.Additionally, stretched shaft sections were located approximately 1.5cm to 9cm from the hub and approximately 24cm to 42cm from the hub.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 renegade hi flo device confirmed that the reported event is a known event defined in the product's risk management documentation.This event type has been accounted for during product risk analysis to support acceptable risk benefits for the product.Investigation conclusion: based on a thorough review of the reported complaint, boston scientific has assigned an investigation conclusion code of cause linked to device but unable to trace more specifically.
 
Event or Problem Description
It was reported that microcatheter fracture occurred.A 135/10 kit renegade hi flo was selected for use.Prior to procedure, it was noted that the microcatheter was kinked and fractured.The procedure was completed with another of the same device.There were no patient complications as a result of this event.
 
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Brand Name
RENEGADE? HI-FLO? KIT
Common Device Name
CATHETER, CONTINUOUS FLUSH
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
model farm road
cork T12 Y K88
EI   T12 YK88
Manufacturer Contact
ricardo amaro castro
4100 hamline ave n
arden hills, MN 55112
9529306396
MDR Report Key24430125
Report Number2124215-2026-10107
Device Sequence Number10227255
Product Code KRA
UDI-Device Identifier08714729280774
UDI-Public(01)08714729280774(17)270410(10)36278428
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K140329
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) 04/09/2026
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 NumberM001183020
Device Catalogue NumberM001183020
Device Lot Number0036278428
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 01/27/2026
Supplement Date Received by Manufacturer03/16/2026
Initial Report FDA Received Date02/24/2026
Supplement Report FDA Received Date04/09/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/10/2025
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 Age51 YR
Patient SexMale
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