FDA Adverse Event
Malfunction
Summary report: N
STERLING?
MDR report key: 23273224
·
Received October 10, 2025
Report
- Report Number
- 2124215-2025-72336
- Event Type
- Malfunction
- Date Received
- October 10, 2025
- Date of Event
- September 18, 2025
- Report Date
- October 10, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- LIT
- PMA / PMN Number
- K141150
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN ASSISTANT
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
E1 - INITIAL REPORTER CITY: (B)(6). E1 - INITIAL REPORTER PHONE: G4 - PREMARKET / 510(K): K141150, K162350.
Description of Event or Problem · 0
IT WAS REPORTED THAT BALLOON RUPTURE OCCURRED. THE 100% STENOSED TARGET LESION WAS LOCATED IN THE MODERATELY TORTUOUS AND SEVERELY CALCIFIED VESSEL. A 5.0MMX100MMX150CM STERLING CATHETER WAS ADVANCED FOR DILATION. DURING THE PROCEDURE, THE BALLOON RUPTURED UPON SECOND INFLATION AT 6 ATMOSPHERES FOR 5 SECOND. THE DEVICE WAS REMOVED WITHOUT ANY PROBLEM, AND THE PROCEDURE WAS COMPLETED WITH A DIFFERENT DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2264643 | STERLING? | CATHETER, PERCUTANEOUS | LIT | BOSTON SCIENTIFIC CORPORATION | H74939031501110 | 0032679700 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | BALLOON CATHETER USED: 6F SHIDENHP 6-150| GUIDEWIRE USED: JUPITER FC 300CM| INTRODUCER SHEATH USED: 6F CROSSROAD MG |