| Model Number |
H74939171070470 |
| Medical Device Problem Code |
Material Rupture (1546)
|
| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
|
| Date of Event |
09/09/2026
|
|
Type of Reportable Event
|
Malfunction
|
|
Event or Problem Description
|
|
It was reported that balloon rupture occurred.The 95% stenosed target lesion was located in the moderately tortuous and severely calcified external iliac artery.A 7.0 x 40, 75cm mustang balloon catheter was advanced for dilation.During the procedure, the balloon ruptured and in a pinhole form at the middle part upon first inflation at 8 atmospheres for 3 seconds.The device was removed without any problem using the normal method, and the procedure was completed with a different device.There were no patient complications as a result of this event, and the patient was in good condition post-procedure.
|
| |
|
Additional Manufacturer Narrative
|
|
D2b: pro code (product code): fge, lit
g4: premarket / 510(k) #: k141521, k141597.Based on a thorough review of the reported complaint, boston scientific has assigned an investigation conclusion code of adverse event related to patient condition.
|
| |
|
Search Alerts/Recalls
|