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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 Fluid/Blood Leak (1250); Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/30/2025
Type of Reportable Event Malfunction
Event or Problem Description
Reportable based on device analysis completed on 16mar2026.It was reported that device leak occurred.A 135/10 renegade hi-flo kit was selected for use in the liver.During preparation, it was noted that the connection between the microcatheter and the syringe was leaking liquid and could not continue to pump the drug.The procedure was completed with another of the same device.There were no patient complications as a result of this event.However, device analysis revealed an outer shaft liner fracture located approximately 6cm from the strain relief.
 
Additional Manufacturer Narrative
(b)(6).Investigation results: device technical analysis upon receipt at our post market quality assurance laboratory, visual examination revealed an outer shaft liner fracture located approximately 6cm from the strain relief.A shaft stretched section was located from 6cm to 17cm from the hub.A shaft kink was located approximately 22.5cm from the strain relief.Device history record (dhr) review it was confirmed this device met manufacturing specifications prior to distribution and there were no manufacturing deviations that 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.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.
 
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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 Key24823966
Report Number2124215-2026-19212
Device Sequence Number9686731
Product Code KRA
UDI-Device Identifier08714729280774
UDI-Public(01)08714729280774(17)260905(10)34784636
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
Report Date (Section B) 04/08/2026
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 Expiration Date09/05/2026
Device Model NumberM001183020
Device Catalogue NumberM001183020
Device Lot Number0034784636
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/16/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/16/2026
Initial Report FDA Received Date04/08/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/05/2024
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 Age56 YR
Patient SexMale
Patient Weight65 KG
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