FDA Adverse Event Malfunction Summary report: N

CRE PRO GI

MDR report key: 21942063 · Received May 1, 2025

Report

Report Number
3005099803-2025-01869
Event Type
Malfunction
Date Received
May 1, 2025
Date of Event
April 8, 2025
Report Date
July 15, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
KNQ
UDI-DI
08714729933885
PMA / PMN Number
K971320
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H6: IMDRF DEVICE CODE A041001 CAPTURES THE REPORTABLE EVENT OF A BALLOON PINHOLE IN THE ESOPHAGUS. H11: THE RETURNED CRE PRO GI WIREGUIDED DILATION BALLOON WAS ANALYZED, AND A VISUAL INSPECTION FOUND THE BALLOON WAS BURST. NO OTHER PROBLEMS WITH THE DEVICE WERE NOTED. WITH ALL AVAILABLE INFORMATION, BOSTON SCIENTIFIC CONCLUDES THE REPORTED EVENT OF BALLOON PINHOLE WAS UNABLE TO BE CONFIRMED DURING THE PRODUCT INVESTIGATION. BASED ON THE CONDITION OF THE RETURNED DEVICE, IT IS POSSIBLE THAT THE RUPTURE FOUND IN THE BALLOON OCCURRED DUE TO PROCEDURAL FACTORS SUCH AS EXCESS OF PRESSURE, INTERACTION WITH OTHER DEVICES. ALSO, IT IS POSSIBLE THAT INTERACTION WITH A SHARP SURFACE DURING/PREVIOUS PROCEDURE, COULD HAVE CAUSED THE PROBLEM FOUND ON THE BALLOON. THEREFORE, THE MOST PROBABLE ROOT CAUSE IS ADVERSE EVENT RELATED TO PROCEDURE.

Additional Manufacturer Narrative · 0

BLOCK H6: IMDRF DEVICE CODE A041001 CAPTURES THE REPORTABLE EVENT OF A BALLOON PINHOLE IN THE ESOPHAGUS.

Additional Manufacturer Narrative · 0

BLOCK H6: IMDRF DEVICE CODE A041001 CAPTURES THE REPORTABLE EVENT OF A BALLOON PINHOLE IN THE ESOPHAGUS. BLOCK H11: (CORRECTION). THE RETURNED CRE PRO GI WIREGUIDED DILATION BALLOON WAS ANALYZED, AND A VISUAL INSPECTION FOUND THE BALLOON WAS TORN CIRCUMFERENTIALLY. NO OTHER PROBLEMS WITH THE DEVICE WERE NOTED. WITH ALL AVAILABLE INFORMATION, BOSTON SCIENTIFIC CONCLUDES THE REPORTED EVENT OF BALLOON PINHOLE WAS UNABLE TO BE CONFIRMED DURING THE PRODUCT INVESTIGATION. BASED ON THE CONDITION OF THE RETURNED DEVICE, IT WAS FOUND THAT THE BALLOON WAS TORN CIRCUMFERENTIALLY. THE PROBLEM COULD HAVE BEEN GENERATED DUE TO PROCEDURAL FACTORS AND INTERACTIONS ENCOUNTERED DURING THE PROCEDURE AND EXCESS PRESSURE. ALSO, IT IS POSSIBLE THAT INTERACTION WITH A SHARP SURFACE DURING/PREVIOUS PROCEDURE, COULD HAVE CAUSED THE PROBLEM FOUND ON THE BALLOON. THEREFORE, THE MOST PROBABLE ROOT CAUSE IS ADVERSE EVENT RELATED TO PROCEDURE.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A CRE PRO GI WIREGUIDED DILATATION BALLOON WAS USED IN THE ESOPHAGEAL TRACT DURING A BALLOON DILATATION PROCEDURE PERFORMED ON (B)(6) 2025. DURING THE PROCEDURE, BALLOON DILATATION WAS PERFORMED AND A PINHOLE IN THE BALLOON WAS NOTED. THE PROCEDURE WAS COMPLETED WITH A SECOND CRE PRO GI WIREGUIDED DILATATION BALLOON. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A CRE PRO GI WIREGUIDED DILATATION BALLOON WAS USED IN THE ESOPHAGEAL TRACT DURING A BALLOON DILATATION PROCEDURE PERFORMED ON (B)(6) 2025. DURING THE PROCEDURE, BALLOON DILATATION WAS PERFORMED AND A PINHOLE IN THE BALLOON WAS NOTED. THE PROCEDURE WAS COMPLETED WITH A SECOND CRE PRO GI WIREGUIDED DILATATION BALLOON. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A CRE PRO GI WIREGUIDED DILATATION BALLOON WAS USED IN THE ESOPHAGEAL TRACT DURING A BALLOON DILATATION PROCEDURE PERFORMED ON (B)(6) 2025. DURING THE PROCEDURE, BALLOON DILATATION WAS PERFORMED AND A PINHOLE IN THE BALLOON WAS NOTED. THE PROCEDURE WAS COMPLETED WITH A SECOND CRE PRO GI WIREGUIDED DILATATION BALLOON. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
188087 CRE PRO GI DILATOR, ESOPHAGEAL KNQ BOSTON SCIENTIFIC CORPORATION M00558770 0035522440 08714729933885

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown