FDA Adverse Event Malfunction Summary report: N

MUSTANG?

MDR report key: 22511244 · Received July 15, 2025

Report

Report Number
2124215-2025-47295
Event Type
Malfunction
Date Received
July 15, 2025
Date of Event
June 19, 2025
Report Date
September 25, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LIT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D2B: PRO CODE (PRODUCT CODE): FGE, LIT. G4: PREMARKET / 510(K) #: K141521, K141597.

Additional Manufacturer Narrative · 0

D2B: PRO CODE (PRODUCT CODE): FGE, LIT. G4: PREMARKET / 510(K) #: K141521, K141597.

Additional Manufacturer Narrative · 0

D2B: PRO CODE (PRODUCT CODE): FGE, LIT. G4: PREMARKET / 510(K) #: K141521, K141597. DEVICE EVALUATED BY MFR: THE MUSTANG WAS RETURNED FOR ANALYSIS. A VISUAL EXAMINATION IDENTIFIED THAT THE BALLOON WAS NOT FOLDED WHICH INDICATES THAT THE BALLOON WAS SUBJECTED TO POSITIVE PRESSURE. A PARTIAL BALLOON CIRCUMFERENTIAL TEAR WAS IDENTIFIED LOCATED APPROXIMATELY 17MM PROXIMAL OF THE DISTAL BALLOON MARKERBAND. A VISUAL EXAMINATION OBSERVED NO DAMAGE TO THE TIP OF THE DEVICE. A VISUAL AND TACTILE EXAMINATION FOUND NO KINKS OR DAMAGE TO THE SHAFT OF THE DEVICE.

Description of Event or Problem · 0

IT WAS REPORTED THAT BALLOON RUPTURE OCCURRED. A 6.0 X 60, 75CM MUSTANG BALLOON CATHETER WAS ADVANCED FOR DILATION. IT WAS NOTED THAT THE BALLOON WAS RUPTURE AT NOMINAL PRESSURE (10 ATMOSPHERES). THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT BALLOON RUPTURE OCCURRED. A 6.0 X 60, 75CM MUSTANG BALLOON CATHETER WAS ADVANCED FOR DILATION. IT WAS NOTED THAT THE BALLOON WAS RUPTURE AT NOMINAL PRESSURE (10 ATMOSPHERES). THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT. IT WAS FURTHER REPORTED THAT THE 70% STENOSED TARGET LESION WAS LOCATED IN THE MODERATELY TORTUOUS AND MODERATELY CALCIFIED VESSEL. DURING THE PROCEDURE, THE BALLOON RUPTURED UPON FIRST INFLATION FOR 10 SECONDS. THE DEVICE WAS REMOVED, AND THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT BALLOON RUPTURE OCCURRED. A 6.0 X 60, 75CM MUSTANG BALLOON CATHETER WAS ADVANCED FOR DILATION. IT WAS NOTED THAT THE BALLOON WAS RUPTURE AT NOMINAL PRESSURE (10 ATMOSPHERES). THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT. IT WAS FURTHER REPORTED THAT THE 70% STENOSED TARGET LESION WAS LOCATED IN THE MODERATELY TORTUOUS AND MODERATELY CALCIFIED VESSEL. DURING THE PROCEDURE, THE BALLOON RUPTURED UPON FIRST INFLATION FOR 10 SECONDS. THE DEVICE WAS REMOVED, AND THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1534640 MUSTANG? STENTS, DRAINS AND DILATORS FOR THE BILIARY DUCTS LIT BOSTON SCIENTIFIC CORPORATION H74939171060670 0029848443

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown