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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 M00558710
Medical Device Problem Codes Inflation Problem (1310); Material Puncture/Hole (1504)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/22/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported to boston scientific corporation that a cre pro wireguided dase dilatation balloon was attempted to be used during a procedure performed on (b)(6) 2026.During the procedure, the balloon would not inflate due to a pinhole.The type of procedure and the anatomy location of the procedure are unknown, and it is being reported as the pinhole may have occurred in the esophagus.The procedure was completed with another of the same device.There were no patient complications reported as a result of this event.
 
Additional Manufacturer Narrative
Block h6: imdrf device code a041001 captures the reportable event of balloon pinhole in an unknown anatomy location.
 
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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 Corporation
business and technology park,
model farm road
cork T12 Y K88
EI   T12 YK88
Manufacturer Contact
christina lam
300 boston scientific way
marlborough, MA 01752
+1(914)571-6918
MDR Report Key50266620
Report Number3005099803-2026-03348
Device Sequence Number18788509
Product Code FGE
UDI-Device Identifier08714729797593
UDI-Public(01)08714729797593(17)281023(10)37787265
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K112994
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 09/08/2026
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 Model NumberM00558710
Device Catalogue NumberM00558710
Device Lot Number0037787265
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 07/22/2026
Supplement Date Received by Manufacturer08/20/2026
Initial Report FDA Received Date08/16/2026
Supplement Report FDA Received Date09/08/2026
Date Device Manufactured10/24/2025
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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