FDA Adverse Event
Malfunction
Summary report: N
AERIS BALLOON DILATION CATHETER 7MMX30MM
MDR report key: 25102477
·
Received May 6, 2026
Report
- Report Number
- MW5187801
- Event Type
- Malfunction
- Date Received
- May 6, 2026
- Date of Event
- April 9, 2026
- Report Date
- May 1, 2026
- Manufacturer
- BRYAN MEDICAL, INC
- Product Code
- KTI
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- WV, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
AN AERIS DILATION CATHETER SIZE 7X30 WITH A TOTAL INFLATION RATE OF 17 WAS BEING USED AND THE CATHETER BALLOON BUSTED. PHYSICIAN EXAMINED PATIENT AND NOTED NO PATIENT HARM OCCURRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 226917 | AERIS BALLOON DILATION CATHETER 7MMX30MM | BRONCHOSCOPE ACCESSORY | KTI | BRYAN MEDICAL, INC | KG0730 | 15055160 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 4 YR | Male | Other |