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Polaris™ Ultra M006192133170Recalls & reported problems

Boston Scientific Corporation · Ureteral Stent Set · Class 2 · Implant

All models of Polaris Ultra (40)

Data updated Oct 18, 2026 from official FDA records · Editorial policy

Adverse event reports
1
Deaths reported
0
Injuries reported
0
Recalls naming it
0

Summary

The FDA's MAUDE database contains 1 adverse event report that list this exact device (DI 08714729766520), received between Jun 17, 2019 and Jun 17, 2019 — classified as 1 malfunction.

The most frequently reported specific device problem is “Break” (1 report).

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. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.

Most reported problems

Device problems

  • Break1

Patient problems

  • No Known Impact Or Consequence To Patient1

Recent adverse event reports

The 1 most recent of 1 reports, in the reporter's own words as published by the FDA.

  • MalfunctionJun 17, 2019Break; Break

    IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A POLARIS ULTRA STENT WAS USED DURING A URETERAL STENT PROCEDURE, PERFORMED ON (B)(6) 2019. ACCORDING TO THE COMPLAINANT, WHEN THE PRODUCT WAS UNPACKED, IT WAS NOTICED THAT THE STENT WAS KINKED. THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITH THE USE OF ANOTHER POLARIS ULTRA STENT. ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION REGARDING THE CIRCUMSTANCES SURROUNDING THIS EVENT HAVE BEEN UNSUCCESSFUL TO DATE. SHOULD ADDITIONAL RELEVANT DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. INVESTIGATION RESULTS REVEALED THE STENT SHAFT WAS DETACHED, THEREFORE THIS EVENT HAS BEEN DEEMED AN MDR REPORTABLE EVENT.

    Patient problems: No Known Impact Or Consequence To Patient

    MAUDE report 8705797 ↗

Other STENT, URETERAL devices

All STENT, URETERAL devices →

Sources and updates

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