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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION SYNERGY? XD; CORONARY DRUG-ELUTING STENT

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BOSTON SCIENTIFIC CORPORATION SYNERGY? XD; CORONARY DRUG-ELUTING STENT Back to Search Results
Model Number H7493941848270
Medical Device Problem Code Device Dislodged or Dislocated (2923)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/10/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that stent moved on the balloon.Upon unpacking of a 2.75 x 48mm synergy? xd drug-eluting stent, it was noticed that the distal edge of stent was not fully on the balloon.The procedure was completed with a non-boston scientific device.No patient complications were reported.
 
Additional Manufacturer Narrative
Investigation results: device analysis findings: the device was disposed; therefore, a technical analysis could not be performed.Device history record review: 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 there was relevant content and sufficient guidance with respect to the circumstances described within this complaint.No updates are required to the ifu as a result of this event.Risk review: a risk review was performed, and it confirmed that the event was defined in the risk documentation.This event type has been accounted for during product risk analysis to support acceptable risk benefit for the product.Investigation conclusion: this investigation is assigned the conclusion code of unintended use error caused or contributed to event.This code was selected as the most probable complaint cause based on the information available and the investigation conducted.Based on the event description, it is most likely that an unintentional handling error during unpacking occurred, most likely as the stent protector and/or product mandrel was being removed.
 
Event or Problem Description
It was reported that stent moved on the balloon.Upon unpacking of a 2.75 x 48mm synergy? xd drug-eluting stent, it was noticed that the distal edge of stent was not fully on the balloon.The procedure was completed with a non-boston scientific device.No patient complications were reported.
 
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Brand Name
SYNERGY? XD
Common Device Name
CORONARY DRUG-ELUTING STENT
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
ballybrit business park
galway
EI  
Manufacturer Contact
mark mischke
4100 hamline ave n
arden hills, MN 55112
7634941632
MDR Report Key24548009
Report Number2124215-2026-12911
Device Sequence Number9485871
Product Code NIQ
UDI-Device Identifier08714729985211
UDI-Public(01)08714729985211(17)270423(10)36490199
Combination Product (Y/N)Y
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
P150003
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 03/31/2026
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 NumberH7493941848270
Device Catalogue NumberH7493941848270
Device Lot Number0036490199
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 02/12/2026
Supplement Date Received by Manufacturer03/12/2026
Initial Report FDA Received Date03/09/2026
Supplement Report FDA Received Date03/31/2026
Date Device Manufactured04/23/2025
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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