FDA Adverse Event Malfunction Summary report: N

MUSTANG?

MDR report key: 22898367 · Received August 26, 2025

Report

Report Number
2124215-2025-59682
Event Type
Malfunction
Date Received
August 26, 2025
Date of Event
August 8, 2025
Report Date
August 26, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LIT
UDI-DI
08714729794578
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

G4 - PREMARKET / 510(K) #: K103751, K110122, K141521.

Description of Event or Problem · 0

IT WAS REPORTED THAT BALLOON RUPTURE OCCURRED. A MUSTANG 7.0 X 150, 75CM WAS ADVANCED FOR DILATATION. DURING TREATMENT, BALLOON BURST AT 25ATM AFTER A MINUTE LATER. THE DEVICE WAS REMOVED USING NORMAL METHOD WITHOUT ISSUE AND THE PROCEDURE WAS COMPLETED WITH A DIFFERENT DEVICE. THERE WAS NO PATIENT INJURY AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1631017 MUSTANG? STENTS, DRAINS AND DILATORS FOR THE BILIARY DUCTS LIT BOSTON SCIENTIFIC CORPORATION H74939171071570 0036559896 08714729794578

Patients

Seq Age Sex Outcome Treatment
1 53 YR Male