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