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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

Nov 2023: 0 reportsDec 2023: 1 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 1 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 1 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 1 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520261
Last 36 months. The most recent month may be incomplete.

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

All Catheter, intravascular occluding, temporary devices →

Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.