FDA Adverse Event Malfunction Summary report: N

CRE WIREGUIDED

MDR report key: 21355246 · Received February 11, 2025

Report

Report Number
3005099803-2025-00347
Event Type
Malfunction
Date Received
February 11, 2025
Date of Event
January 15, 2025
Report Date
April 29, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
FDF
UDI-DI
08714729339335
PMA / PMN Number
K110833
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK D2B: THE REMAINING PRO CODES (PRODUCT CODES) ARE FDT AND KNQ; REPORTED HERE AS PRO CODES (PRODUCT CODES) EXCEEDED THE CHARACTER LIMIT FOR THE DESIGNATED FIELD. BLOCK E1: INITIAL REPORTER'S FACILITY NAME IS (B)(6); REPORTED HERE AS THE FACILITY NAME EXCEEDED THE CHARACTER LIMIT FOR THE DESIGNATED FIELD. BLOCK H11: INVESTIGATION RESULTS - THE RETURNED CRE WIREGUIDED DILATATION BALLOON WAS ANALYZED, AND A VISUAL/MICROSCOPIC EVALUATION FOUND NO DAMAGE TO THE DEVICE. FUNCTIONAL INSPECTION WAS PERFORMED, THE BALLOON WAS INFLATED, AND IT WAS ABLE TO HOLD PRESSURE WITHOUT ANY ISSUE. NO OTHER PROBLEMS WITH THE DEVICE WERE NOTED. THE RETURNED DEVICE WAS ANALYZED, PASSED ALL TESTS PERFORMED, AND EXHIBITED NORMAL DEVICE CHARACTERISTICS. THEREFORE, THE MOST PROBABLE ROOT CAUSE IS NO PROBLEM DETECTED.

Additional Manufacturer Narrative · 0

BLOCK D2B: THE REMAINING PRO CODES (PRODUCT CODES) ARE FDT AND KNQ; REPORTED HERE AS PRO CODES (PRODUCT CODES) EXCEEDED THE CHARACTER LIMIT FOR THE DESIGNATED FIELD. BLOCK E1: INITIAL REPORTER'S FACILITY NAME IS (B)(6); REPORTED HERE AS THE FACILITY NAME EXCEEDED THE CHARACTER LIMIT FOR THE DESIGNATED FIELD. BLOCK H6: IMDRF DEVICE CODE A0402 CAPTURES THE REPORTABLE EVENT OF A BALLOON BURST. BLOCK H11: INVESTIGATION RESULTS THE RETURNED CRE WIREGUIDED DILATATION BALLOON WAS ANALYZED, AND A VISUAL/MICROSCOPIC EVALUATION FOUND NO DAMAGE TO THE DEVICE. FUNCTIONAL INSPECTION WAS PERFORMED, THE BALLOON WAS INFLATED, AND IT WAS ABLE TO HOLD PRESSURE WITHOUT ANY ISSUE. NO OTHER PROBLEMS WITH THE DEVICE WERE NOTED. WITH ALL THE AVAILABLE INFORMATION, BOSTON SCIENTIFIC CONCLUDES THE REPORTED EVENT OF BALLOON BURST WAS NOT CONFIRMED. THE RETURNED DEVICE WAS INFLATED AND WAS ABLE TO HOLD PRESSURE WITHOUT ANY ISSUE. THEREFORE, THE MOST PROBABLE ROOT CAUSE IS NO PROBLEM DETECTED.

Additional Manufacturer Narrative · 0

BLOCK D2B: THE REMAINING PRO CODES (PRODUCT CODES) ARE FDT AND KNQ; REPORTED HERE AS PRO CODES (PRODUCT CODES) EXCEEDED THE CHARACTER LIMIT FOR THE DESIGNATED FIELD. BLOCK E1: INITIAL REPORTER'S FACILITY NAME IS THE FIRST AFFILIATED HOSPITAL (B)(6); REPORTED HERE AS THE FACILITY NAME EXCEEDED THE CHARACTER LIMIT FOR THE DESIGNATED FIELD. BLOCK H6: IMDRF DEVICE CODE A0402 CAPTURES THE REPORTABLE EVENT OF A BALLOON BURST.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A CRE WIREGUIDED DILATATION BALLOON WAS ATTEMPTED TO BE USED IN THE BILIARY TRACT DURING A BILIARY DILATATION PROCEDURE PERFORMED ON (B)(6) 2025. DURING PAPILLA DILATION, THE BALLOON BURST AT 9 ATM AND IT COULD NOT BE DILATED. IT WAS REPORTED THAT NO PIECE OF THE BALLOON DETACHED INSIDE THE PATIENT. THE PROCEDURE WAS COMPLETED WITH ANOTHER CRE WIREGUIDED DILATATION BALLOON. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. THE PATIENT'S CONDITION AT THE CONCLUSION OF THE PROCEDURE WAS REPORTED TO BE STABLE. ADDITIONAL INFORMATION RECEIVED ON APRIL 2, 2025. THE PHYSICIAN REPORTED THAT THE BALLOON COULD NOT BE INFLATED DURING THE PROCEDURE.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A CRE WIREGUIDED DILATATION BALLOON WAS ATTEMPTED TO BE USED IN THE BILIARY TRACT DURING A BILIARY DILATATION PROCEDURE PERFORMED ON (B)(6) 2025. DURING PAPILLA DILATION, THE BALLOON BURST AT 9 ATM AND IT COULD NOT BE DILATED. IT WAS REPORTED THAT NO PIECE OF THE BALLOON DETACHED INSIDE THE PATIENT. THE PROCEDURE WAS COMPLETED WITH ANOTHER CRE WIREGUIDED DILATATION BALLOON. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. THE PATIENT'S CONDITION AT THE CONCLUSION OF THE PROCEDURE WAS REPORTED TO BE STABLE.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A CRE WIREGUIDED DILATATION BALLOON WAS ATTEMPTED TO BE USED IN THE BILIARY TRACT DURING A BILIARY DILATATION PROCEDURE PERFORMED ON (B)(6) 2025. DURING PAPILLA DILATION, THE BALLOON BURST AT 9 ATM AND IT COULD NOT BE DILATED. IT WAS REPORTED THAT NO PIECE OF THE BALLOON DETACHED INSIDE THE PATIENT. THE PROCEDURE WAS COMPLETED WITH ANOTHER CRE WIREGUIDED DILATATION BALLOON. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. THE PATIENT'S CONDITION AT THE CONCLUSION OF THE PROCEDURE WAS REPORTED TO BE STABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1514532 CRE WIREGUIDED COLONOSCOPE AND ACCESSORIES, FLEXIBLE/RIGID FDF BOSTON SCIENTIFIC CORPORATION M00558400 0033978674 08714729339335

Patients

Seq Age Sex Outcome Treatment
1 56 YR Female