FDA Adverse Event Malfunction Summary report: N

SPEEDBAND SUPERVIEW SUPER 7

MDR report key: 24718852 · Received March 30, 2026

Report

Report Number
3005099803-2026-01132
Event Type
Malfunction
Date Received
March 30, 2026
Date of Event
February 14, 2026
Report Date
May 11, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
MND
UDI-DI
08714729201960
PMA / PMN Number
510K EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

BLOCK H6: IMDRF DEVICE CODE A050501 CAPTURES THE REPORTABLE EVENT OF BANDS UNABLE TO DEPLOY. SECTION E: THIS EVENT WAS REPORTED BY THE SALES REPRESENTATIVE. THE HEALTH CARE FACILITY IS: (B)(6).

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A SPEEDBAND SUPERVIEW SUPER 7 WAS USED DURING AN UNKNOWN PROCEDURE PERFORMED ON (B)(6) 2026. IT WAS REPORTED THAT, WHEN TURNING THE LEVER, THE BAND DID NOT DEPLOY AND INSTEAD CAUSED IT TO SPIN IDLY. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. NO FURTHER INFORMATION HAS BEEN OBTAINED DESPITE GOOD FAITH EFFORTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
37403 SPEEDBAND SUPERVIEW SUPER 7 LIGATOR, ESOPHAGEAL MND BOSTON SCIENTIFIC CORPORATION M00542251 0037475125 08714729201960

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown