FDA Adverse Event Malfunction Summary report: N

APERTA NSE CORONARY DILATATION CATHETER

MDR report key: 24921336 · Received April 19, 2026

Report

Report Number
3007835716-2026-00047
Event Type
Malfunction
Date Received
April 19, 2026
Date of Event
November 28, 2025
Manufacturer
NIPRO VASCULAR CORPORATION
Product Code
NWX
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

AS THE PRODUCT WAS NOT RETURNED, A DETAILED INVESTIGATION USING THE PRODUCT COULD NOT BE PERFORMED. IT WAS CONSIDERED THAT THE REPORTED EVENT MAY HAVE BEEN CAUSED BY LOCAL CONTACT WITH A LESION; HOWEVER, THE DETAILED ROOT CAUSE COULD NOT BE IDENTIFIED. NO ABNORMALITIES WERE FOUND ON THE PRODUCTION RECORDS. THE INSTRUCTIONS FOR USE (IFU) PROVIDE GENERAL INSTRUCTIONS FOR USE, WARNINGS AND PRECAUTIONS RELATED TO THE DEVICE, AND INFORMATION TO MAKE USERS AWARE OF POTENTIAL COMPLICATIONS AND OTHER EVENTS SIMILAR TO THIS EVENT THAT MAY OCCUR. THIS REPORT DOES NOT IMPLY AN ADMISSION BY ANYONE THAT THE PRODUCTS MENTIONED IN THIS REPORT ARE DEFECTIVE. ALTHOUGH NO COMPLICATIONS WERE REPORTED, THIS EVENT IS BEING REPORTED PURSUANT TO 21 CFR PART 803.50(A)(2), AS BALLOON RUPTURE OR SHAFT LEAKAGE IS KNOWN TO HAVE THE POTENTIAL TO CAUSE ADVERSE EVENTS.

Additional Manufacturer Narrative · 0

THE INVESTIGATION HAS NOT BEEN COMPLETED YET; THEREFORE, THE CAUSE OF THIS EVENT HAS NOT BEEN DETERMINED. THIS IS AN INITIAL REPORT, AND THE RESULTS OF THE INVESTIGATION WILL BE DESCRIBED IN A FOLLOW-UP REPORT.

Description of Event or Problem · 0

IT WAS REPORTED THAT A BALLOON RUPTURE OCCURRED DURING THE PROCEDURE. THE BALLOON WAS USED TO TREAT A 90% STENOTIC, SEVERELY CALCIFIED LESION IN THE RIGHT CORONARY ARTERY. THE BALLOON WAS DELIVERED WITH AN EXTENSION CATHETER; HOWEVER, IT RUPTURED DURING INFLATION. THE PRODUCT WAS REMOVED, ROTA TREATMENT WAS PERFORMED, AND THE PROCEDURE WAS CONTINUED USING A NEW PRODUCT. NO COMPLICATIONS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
212903 APERTA NSE CORONARY DILATATION CATHETER CATHETER, PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA), CUTTING/SCORING NWX NIPRO VASCULAR CORPORATION APN32513 ANH240522B

Patients

Seq Age Sex Outcome Treatment
1