FDA Adverse Event Malfunction Summary report: N

STERLING® SL

MDR report key: 24505737 · Received March 4, 2026

Report

Report Number
24505737
Event Type
Malfunction
Date Received
March 4, 2026
Date of Event
January 28, 2026
Report Date
February 16, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
DQY
Product Problem
Yes
Report Source
User Facility report
Reporter Location
TX
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Description of Event or Problem · 0

DURING AN ATTEMPTED ENDOVASCULAR BALLOON ANGIOPLASTY OF THE LEFT ANTERIOR TIBIAL ARTERY, THE BALLOON WAS BROKEN IN THE ARTERY. A SURGICAL CUTDOWN WAS SUBSEQUENTLY PERFORMED TO RETRIEVE THE BALLOON. THE PROCEDURE WAS PERFORMED UNDER CONTINUOUS FLUOROSCOPY, AND THE ATTENDING SURGEON CONFIRMED COMPLETE REMOVAL OF THE BALLOON FROM THE ARTERY. THE FACULTY SURGEON PUT IN A NOTE DETAILING COMPLETE REMOVAL; THE BALLOON WAS GIVEN TO CHARGE (BOSTON SCIENTIFIC STERLING 0.018" 3.0 X 150X 150 BALLOON; REF# H74939148301510/ EXP: 11-12-2027/ LOT: 37941758)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
52090 STERLING® SL CATHETER, PERCUTANEOUS DQY BOSTON SCIENTIFIC CORPORATION H74939148301510 37941758

Patients

Seq Age Sex Outcome Treatment
1 76 YR Female Other