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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION CRE PRO; CATHETER, BILIARY, DIAGNOSTIC

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BOSTON SCIENTIFIC CORPORATION CRE PRO; CATHETER, BILIARY, DIAGNOSTIC Back to Search Results
Model Number M00558680
Medical Device Problem Codes Tear, Rip or Hole in Device Packaging (2385); Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/01/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Block b3: approximated based on the date the manufacturer became aware of the event.Block h6: imdrf device code a020504 captures the reportable event of a hole in the device packaging.
 
Event or Problem Description
It was reported to boston scientific corporation that a cre pro wireguided dilatation balloon was received by the customer on an unknown date.It was reported that upon receiving the packaging, the balloon packaging was perforated/torn in the areas where the scratches are observed.Media inspection of the product packaging provided by the complainant revealed multiple small punctures and indentations located on the sterile pouch.The damage appears as several clustered pin sized penetrations and surface dents on the front side of the sterile pouch.The complainant also reported that the outer shipping box containing the sterile balloon pouches showed no signs of damage.The device was not used in a procedure.No patient was involved at the time of event, and no patient complications were reported in connection with this event.
 
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Brand Name
CRE PRO
Common Device Name
CATHETER, BILIARY, DIAGNOSTIC
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORK LIMITED
cork business technology park
model farm road
cork T12 Y K88
EI   T12 YK88
Manufacturer Contact
christina lam
300 boston scientific way
marlborough, MA 01752
9145716918
MDR Report Key24598977
Report Number3005099803-2026-00962
Device Sequence Number9434245
Product Code FGE
UDI-Device Identifier08714729797562
UDI-Public(01)08714729797562(17)281211(10)38176726
Combination Product (Y/N)N
Initial Reporter StateWV
Initial Reporter CountryUS
PMA/510(K) Number
K112994
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 Other Health Care Professional
Remedial Action Recall,Other
Type of Report Initial,Followup,Followup
Report Date (Section B) 06/16/2026
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 NumberM00558680
Device Catalogue NumberM00558680
Device Lot Number0038176726
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer03/09/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/16/2026
Supplement Date Received by Manufacturer04/09/2026
05/21/2026
Initial Report FDA Received Date03/13/2026
Supplement Report FDA Received Date05/01/2026
06/16/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/12/2025
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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