FDA Adverse Event Malfunction Summary report: N

ALLURION DEVICE

MDR report key: 24761882 · Received April 2, 2026

Report

Report Number
3011299930-2026-00002
Event Type
Malfunction
Date Received
April 2, 2026
Date of Event
March 5, 2026
Report Date
April 2, 2026
Manufacturer
ALLURION TECHNOLOGIES, INC.
Product Code
LTI
UDI-DI
00810010540317
PMA / PMN Number
P250023
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HYPERINFLATION OF THE DEVICE MAY BE ASSOCIATED WITH THE ISOLATION OF LACTOBACILLUS ACIDOPHILUS/GASSERI, WHICH WAS IDENTIFIED FOLLOWING CULTURING OF THE FLUID FROM INSIDE THE INTRAGASTRIC BALLOON DURING THE ENDOSCOPIC REMOVAL. THESE FERMENTATIVE ORGANISMS ARE KNOWN TO PRODUCE GAS AS A METABOLIC BYPRODUCT, WHICH MAY INCREASE INTERNAL PRESSURE AND CONTRIBUTE TO VOLUMETRIC EXPANSION OF THE DEVICE. THIS FINDING MAY PROVIDE A POTENTIAL EXPLANATION FOR THE OBSERVED DEVICE HYPERINFLATION. HOWEVER, LACTOBACILLUS SPECIES ARE PART OF THE NORMAL GASTROINTESTINAL FLORA, AND THE SOURCE OF THE ORGANISM COULD NOT BE CONFIRMED, INCLUDING THE POSSIBILITY OF EXTERNAL CONTAMINATION. THE DEVICE IS AVAILABLE FOR RETURN TO THE MANUFACTURER AND HAS BEEN REQUESTED. FURTHER EVALUATION IS PENDING THE RETURN AND ANALYSIS OF THE DEVICE.

Description of Event or Problem · 0

THE PATIENT UNDERWENT PLACEMENT OF THE ALLURION BALLOON ON (B)(6) 2026. THE PATIENT SUBSEQUENTLY REPORTED PERSISTENT ABDOMINAL PAIN AND COMPLETE INTOLERANCE TO ORAL INTAKE. AN ABDOMINAL X-RAY PERFORMED ON (B)(6) 2026 WHICH SHOWED THAT THE DEVICE WAS HYPERINFLATED. THE DEVICE WAS ENDOSCOPICALLY PUNCTURED AND REMOVED ON (B)(6) 2026. NO ADDITIONAL COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
829825 ALLURION DEVICE GASTRIC BALLOON LTI ALLURION TECHNOLOGIES, INC. 10D-CE 309191-1 00810010540317

Patients

Seq Age Sex Outcome Treatment
1 63 YR Female Required Intervention