HyperForm 104-4420Recalls & reported problems
Micro Therapeutics, Inc. · BALLOON SYSTEM 104-4420 V20 HYPERFORM · Class 2
- Adverse event reports
- 4
- Deaths reported
- 0
- Injuries reported
- 0
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 4 adverse event reports that list this exact device (DI 00763000294236), received between Dec 8, 2023 and Aug 31, 2026 — classified as 4 malfunctions.
The most frequently reported specific device problem is “Burst Container or Vessel” (3 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.
Reports received per month
Most reported problems
Device problems
- Burst Container or Vessel3
- Deflation Problem1
- Inflation Problem1
Patient problems
- No Clinical Signs, Symptoms or Conditions4
Recent adverse event reports
The 4 most recent of 4 reports, in the reporter's own words as published by the FDA.
MalfunctionAug 31, 2026Deflation Problem
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 50519967 ↗MalfunctionFeb 10, 2025Burst Container or Vessel; Inflation Problem; Burst Container or Vessel; Inflation Problem
ADDITIONAL INFORMATION RECEIVED REPORTED A SELF-CONTAINED GUIDEWIRE WAS USED. THE GUIDEWIRE WAS ADVANCED 1 CM OUT OF THE CATHETER TIP. THE GUIDEWIRE TIP WAS NOT SHAPED. THE INJECTION RATE WAS STEADY. USED CARTRIDGE SYRINGE TO ASPIRATE OUT AND DEFLATE BALLOON. THE GUIDEWIRE WAS 7MM FROM THE CATHETER TIP DURING INFLATION/DEFLATION. AFTER MULTIPLE INFLATIONS, THE CATHETER AND GUIDEWIRE EAS NOT REMOVED OR INSPECTED. BLOOD DID NOT ENTER THE CATHETER LUMEN. CONTRAST WAS OBSERVED LEAKING DURING THE INFLATION ATTEMPT. THE CATHETER WAS NOT KINKED. THE PHYSICIAN TESTED THE BALLOON PRIOR TO USE.THE BALLOON DID NOT PERFORM AS INTENDED DURING TESTING. THE BALLOON LEAK WAS AT THE TIP, CONTRAST RATION WAS 50/50. THE BALLOON GAT INFLATED AND DEFLATED 3 TIMES.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21344643 ↗MalfunctionApr 18, 2024Burst Container or Vessel; Burst Container or Vessel
MEDTRONIC RECEIVED INFORMATION THAT A BALLOON CATHETER WAS LEAKING AND BURST. THIS PATIENT HAD AN ARTERIOVENOUS FISTULA IN THE CAVERNOUS SINUS SEGMENT. USING 6FGUIDING AS PROXIMAL SUPPORT, THE ECHELON MICROCATHETER WAS PLACED INTO THE FISTULA OPENING. AFTER FILLING THE COIL, THE INTERNAL CAROTID ARTERY WAS BLOCKED WITH THE OCCLUSION BALLOON FOR ONYX EMBOLIZATION. AFTER THE BALLOON WAS HYDRATED OUTSIDE THE BODY, IT WAS DEFLATED AND PRE-INFLATED. THE X-PEDION-10 GUIDEWIRE GUIDED THE BALLOON TO THE C4 SEGMENT. THE GUIDE WIRE CAME OUT ABOUT 2CM FROM THE TIP OF THE BALLOON CATHETER. AFTER INSERTING 0.25CC WITH A CARTRIDGE SYRINGE, IT WAS FOUND THAT THE CONTRAST AGENT HAD LEAKED OUT. AFTER IT WAS WITHDRAWN FROM THE BODY, IT WAS FOUND THAT THE BALLOON HAD BURST. AFTER THE BALLOON WAS REPLACED, THE OPERATION WENT SMOOTHLY. NO PATIENT SYMPTOMS OR COMPLICATIOSN WERE REPORTED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 19139669 ↗MalfunctionDec 8, 2023Burst Container or Vessel; Burst Container or Vessel
IT WAS CLARIFIED THERE WAS BALLOON RUPTURE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18294994 ↗
Other Catheter, intravascular occluding, temporary devices
- Pruitt F3 Carotid Shunt 2012-10Lemaitre Vascular, Inc. · Catheter, Intravascular Occluding, Temporary1 death158 reports
- GORE Molding Occlusion Balloon Catheter MOB37W. L. Gore & Associates, Inc. · Catheter, Intravascular Occluding, Temporary6 deaths152 reports
- Bridge Occlusion Balloon 590-001Spectranetics Corporation · Catheter, Intravascular Occluding, Temporary4 deaths57 reports
- Pruitt F3 Carotid Shunt e2012-10Lemaitre Vascular, Inc. · Catheter, Intravascular Occluding, Temporary53 reports
- Pruitt F3 Carotid Shunt 2013-10Lemaitre Vascular, Inc. · Catheter, Intravascular Occluding, Temporary46 reports
- Equalizer™ M001171100Boston Scientific Corporation · Catheter, intravascular occluding, temporary18 reports
- TRANSFORM M003SSC07070Stryker Corporation · Catheter, intravascular occluding, temporary17 reports
- Pruitt F3 Carotid Shunt e2013-10Lemaitre Vascular, Inc. · Catheter, Intravascular Occluding, Temporary17 reports
Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.