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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Bard Peripheral Vascular, Inc. True Dilatation Catheter; Balloon Valvuloplasty Catheter

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Bard Peripheral Vascular, Inc. True Dilatation Catheter; Balloon Valvuloplasty Catheter Back to Search Results
Catalog Number 0214512
Medical Device Problem Codes Inflation Problem (1310); Material Rupture (1546)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/09/2026
Type of Reportable Event Malfunction
Event or Problem Description
On (b)(6) 2026, a patient underwent a valvuloplasty procedure using a true balloon catheter.Prior to use, during device preparation and balloon inflation, it was observed that only approximately 20 cc of contrast medium could be injected despite the balloon having a specified inflation volume of 25 cc.Further inspection reportedly revealed a balloon rupture.There was no patient contact.
 
Additional Manufacturer Narrative
H11: as the lot number for the device was provided, a review of the device history records was performed.The device has been returned to the manufacturer for evaluation.The investigation of the reported event is currently underway.Section a through f: the information provide by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
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Brand Name
True Dilatation Catheter
Common Device Name
Balloon Valvuloplasty Catheter
Manufacturer (Section D)
Bard Peripheral Vascular, Inc.
1625 w 3rd st.
tempe AZ 85281
Manufacturer (Section G)
C.R. Bard, Inc. (GFO)
289 bay road
queensbury 12804
Manufacturer Contact
michael gaffney
800 w. rio salado pkwy
tempe, AZ 85281
+1(480)303-2689
MDR Report Key50081959
Report Number2020394-2026-01971
Device Sequence Number18696788
Product Code OZT
UDI-Device Identifier00801741097447
UDI-Public(01)00801741097447(11)260416(17)290328(10)GFLQ0232
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K150667
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 07/14/2026
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 Catalogue Number0214512
Device Lot NumberGFLQ0232
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer07/20/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/09/2026
Initial Report FDA Received Date07/30/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/16/2026
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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