FDA Adverse Event Malfunction Summary report: N

CHARGER

MDR report key: 21688544 · Received March 25, 2025

Report

Report Number
2124215-2025-17970
Event Type
Malfunction
Date Received
March 25, 2025
Date of Event
February 26, 2025
Report Date
June 27, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
FGE
UDI-DI
08714729803799
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D2B: PRO CODE (PRODUCT CODE): FGE, LIT. G4: PREMARKET / 510(K) #: K112697, K112701, K141521. DEVICE EVALUATED BY MFR: THE CHARGER WAS RETURNED FOR ANALYSIS. A VISUAL EXAMINATION IDENTIFIED THAT THE BALLOON WAS NOT FOLDED WHICH INDICATES THAT THE BALLOON WAS SUBJECTED TO POSITIVE PRESSURE. THE RATED BURST PRESSURE FOR THIS DEVICE IS 14 ATMOSPHERES AS CHARGER SPECIFICATION (B)(4). THE RETURNED DEVICE WAS ATTACHED TO AN ENCORE INFLATION UNIT. POSITIVE PRESSURE WAS APPLIED WHEN LIQUID WAS OBSERVED TO BE LEAKING FROM A BALLOON PINHOLE LOCATED APPROXIMATELY 6MM DISTAL FROM THE PROXIMAL MARKERBAND. INFLATION OF THE DEVICE IS NOT POSSIBLE DUE TO THE BALLOON PINHOLE. A VISUAL EXAMINATION OF THE MARKERBANDS IDENTIFIED NO ISSUES. A VISUAL AND TACTILE EXAMINATION IDENTIFIED NO KINKS OR DAMAGE TO THE SHAFT. A VISUAL AND TACTILE EXAMINATION IDENTIFIED NO DAMAGE TO THE TIP OF THE DEVICE.

Additional Manufacturer Narrative · 0

D2B: PRO CODE (PRODUCT CODE): FGE, LIT. G4: PREMARKET / 510(K) #: K112697, K112701, K141521.

Description of Event or Problem · 0

IT WAS REPORTED THAT BALLOON BURST OCCURRED. THE TARGET LESION WAS SITUATED IN THE PERIPHERAL ARTERY. A 10.0 X 40 MM, 75 CM CHARGER BALLOON CATHETER WAS SELECTED FOR DILATION. THE PROCEDURE COMMENCED WITH A SUCCESSFUL ANGIOGRAPHY PERFORMED VIA A 6 FRENCH SHEATH, AND THE LESION WAS SUCCESSFULLY CROSSED WITH A GUIDEWIRE. ADDITIONALLY, INTRAVASCULAR ULTRASOUND (IVUS) WAS EFFECTIVELY CONDUCTED TO FURTHER ASSESS THE LESION. HOWEVER, DURING THE PREPARATION FOR BALLOON DILATION, A LEAK WAS DETECTED AT THE BALLOON PACKAGE OPENING. THIS ISSUE LED TO THE BALLOON RUPTURING UPON THE FIRST INFLATION ATTEMPT. CONSEQUENTLY, THE PLANNED DILATION COULD NOT BE COMPLETED WITH THE INITIAL DEVICE. THE PROCEDURE WAS SUBSEQUENTLY ADAPTED, AND AN ALTERNATIVE DEVICE WAS UTILIZED TO ACHIEVE THE DESIRED OUTCOME. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT BALLOON BURST OCCURRED. THE TARGET LESION WAS SITUATED IN THE PERIPHERAL ARTERY. A 10.0 X 40 MM, 75 CM CHARGER BALLOON CATHETER WAS SELECTED FOR DILATION. THE PROCEDURE COMMENCED WITH A SUCCESSFUL ANGIOGRAPHY PERFORMED VIA A 6 FRENCH SHEATH, AND THE LESION WAS SUCCESSFULLY CROSSED WITH A GUIDEWIRE. ADDITIONALLY, INTRAVASCULAR ULTRASOUND (IVUS) WAS EFFECTIVELY CONDUCTED TO FURTHER ASSESS THE LESION. HOWEVER, DURING THE PREPARATION FOR BALLOON DILATION, A LEAK WAS DETECTED AT THE BALLOON PACKAGE OPENING. THIS ISSUE LED TO THE BALLOON RUPTURING UPON THE FIRST INFLATION ATTEMPT. CONSEQUENTLY, THE PLANNED DILATION COULD NOT BE COMPLETED WITH THE INITIAL DEVICE. THE PROCEDURE WAS SUBSEQUENTLY ADAPTED, AND AN ALTERNATIVE DEVICE WAS UTILIZED TO ACHIEVE THE DESIRED OUTCOME. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1133113 CHARGER STENTS, DRAINS AND DILATORS FOR THE BILIARY DUCTS FGE BOSTON SCIENTIFIC CORPORATION H74939206100470 0033063854 08714729803799

Patients

Seq Age Sex Outcome Treatment
1 72 YR Male