FDA Adverse Event Malfunction Summary report: N

COYOTE? ES

MDR report key: 23265064 · Received October 10, 2025

Report

Report Number
2124215-2025-72056
Event Type
Malfunction
Date Received
October 10, 2025
Date of Event
September 24, 2025
Report Date
October 10, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LIT
PMA / PMN Number
K093636
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
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 BALLOON RUPTURE OCCURRED. DURING A PERCUTANEOUS TRANSLUMINAL ANGIOPLASTY (PTA) OF THE ANTERIOR TIBIAL ARTERY (ATA), WIRING WAS INITIALLY ATTEMPTED USING A JUPITER SFC GUIDEWIRE. HOWEVER, DUE TO SEVERE CALCIFICATION OF THE LESION, THE WIRING PROCESS WAS PROLONGED. THE GUIDEWIRE TIP WEAKENED DURING THIS ATTEMPT. THE DEVICE WAS THEN REPLACED WITH ANOTHER JUPITER SFC, WHICH WAS SUCCESSFULLY ADVANCED ACROSS THE LESION. SUBSEQUENTLY, BALLOON INFLATION WAS ATTEMPTED USING A 1.5MM X 20MM X 143CM COYOTE ES BALLOON CATHETER. DURING THE INITIAL INFLATION AT 6 ATMOSPHERES, THE BALLOON RUPTURED. THE DEVICE WAS REPLACED WITH ANOTHER BALLOON OF THE SAME TYPE, BUT DUE TO PROCEDURAL NEEDS, BALLOON SIZE WAS INCREASED TO 2.5 MM TO COMPLETE THE PROCEDURE. NO PATIENT COMPLICATIONS WERE REPORTED, AND THE PATIENT REMAINED STABLE POST-PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
303729 COYOTE? ES CATHETER, ANGIOPLASTY, PERIPHERAL, TRANSLUMINAL LIT BOSTON SCIENTIFIC CORPORATION H74939135152010 0033156560

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown GUIDEWIRE: JUPITER SFC