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 |