FDA Adverse Event Injury Summary report: N

SYNERGY MEGATRON

MDR report key: 23248252 · Received October 8, 2025

Report

Report Number
2124215-2025-65852
Event Type
Injury
Date Received
October 8, 2025
Date of Event
September 12, 2025
Report Date
October 30, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
NIQ
UDI-DI
08714729985419
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

GOOD FAITH EFFORT ATTEMPTS WERE MADE TO TRY AND RETRIEVE ADDITIONAL DETAILS REGARDING THE REPORTED EVENT, BUT FURTHER INFORMATION WAS UNABLE TO BE OBTAINED.

Description of Event or Problem · 0

IT WAS REPORTED THAT A DISSECTION OCCURRED. THE PATIENT PRESENTED WITH CORONARY ARTERY DISEASE AND UNDERWENT PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY. THE TARGET LESION WAS LOCATED IN THE LEFT ANTERIOR DESCENDING ARTERY. A 3.50 X 24MM SYNERGY MEGATRON DRUG-ELUTING STENT WAS SUCCESSFULLY DEPLOYED. POST DEPLOYMENT, A NON-FLOW LIMITING DISTAL EDGE DISSECTION WAS OBSERVED. ANOTHER STENT WAS IMPLANTED TO COVER THE DISSECTION, AND THE PROCEDURE WAS COMPLETED. THE PATIENT WAS STABLE POST PROCEDURE.

Description of Event or Problem · 0

IT WAS REPORTED THAT A DISSECTION OCCURRED. THE PATIENT PRESENTED WITH CORONARY ARTERY DISEASE AND UNDERWENT PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY. THE TARGET LESION WAS LOCATED IN THE LEFT ANTERIOR DESCENDING ARTERY. A 3.50 X 24MM SYNERGY MEGATRON DRUG-ELUTING STENT WAS SUCCESSFULLY DEPLOYED. POST DEPLOYMENT, A NON-FLOW LIMITING DISTAL EDGE DISSECTION WAS OBSERVED. ANOTHER STENT WAS IMPLANTED TO COVER THE DISSECTION, AND THE PROCEDURE WAS COMPLETED. THE PATIENT WAS STABLE POST PROCEDURE. IT WAS FURTHER REPORTED THAT THE TARGET LESION WAS 90% STENOSED, MILDLY TORTUOUS, AND MILDLY CALCIFIED. THE LESION WAS PRE-DILATED WITH A SEMI-COMPLIANT BALLOON, AND THE STENT WAS FULLY DEPLOYED AT 11 ATMOSPHERES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2611294 SYNERGY MEGATRON CORONARY DRUG-ELUTING STENT NIQ BOSTON SCIENTIFIC CORPORATION 0035559861 08714729985419

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention