FDA Adverse Event Malfunction Summary report: N

STERLING?

MDR report key: 23012036 · Received September 9, 2025

Report

Report Number
2124215-2025-62766
Event Type
Malfunction
Date Received
September 9, 2025
Date of Event
August 19, 2025
Report Date
September 9, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LIT
UDI-DI
08714729859406
PMA / PMN Number
K141150
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

E1 - INITIAL REPORTER ADDRESS 1: (B)(6). G4 - PREMARKET / 510(K) #: K141150, K162350

Description of Event or Problem · 0

IT WAS REPORTED THAT A BALLOON RUPTURE OCCURRED. THE 100% STENOSED TARGET LESION WAS LOCATED IN THE MODERATELY TORTUOUS AND MILDLY CALCIFIED SUPERFICIAL FEMORAL ARTERY. A 5.0MMX100MMX150CM (4F) STERLING MR BALLOON CATHETER WAS ADVANCED FOR DILATION. DURING THE PROCEDURE, THE BALLOON RUPTURED UPON FIFTH INFLATION AT 14 ATMOSPHERES FOR 10 SECONDS. THE DEVICE WAS REMOVED WITHOUT ANY PROBLEM, 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
2501444 STERLING? CATHETER, PERCUTANEOUS LIT BOSTON SCIENTIFIC CORPORATION H74939031501110 0033402422 08714729859406

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown