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Formula G56969Recalls & reported problems

William Cook Europe ApS · Formula 414 Rx, Renal Balloon-Expandable Stent · Class 3 · Implant

Data updated Oct 16, 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 10827002569697), received between Mar 15, 2018 and Mar 15, 2018 — classified as 1 malfunction.

The most frequently reported specific device problem is “Difficult to Advance” (1 report).

1 other recall cover devices cleared under the same FDA submission (P100028); they may or may not involve this specific model.

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 16, 2026.

Most reported problems

Device problems

  • Difficult to Advance1

Patient problems

  • Calcium Deposits/Calcification1
  • Stenosis1

Recent adverse event reports

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

  • MalfunctionMar 15, 2018Difficult to Advance; Difficult to Advance

    DESCRIPTION OF EVENT ACCORDING TO INITIAL REPORTER: THEY WERE ABLE TO TRACK A COOK .014 ROADRUNNER AND WERE ABLE TO PASS TWO 14 LP COOK BALLOONS TO PREDILATE THE VESSEL. WHEN THEY WENT IN WITH THE BALLOON EXPANDABLE STENT, IT WOULD NOT PASS. THIS WAS THE CASE FIRST FOR THE 5 X 20 AND THEN FOR THE 5 X 16. NEITHER WOULD PASS. THEY SUCCESSFULLY COMPLETED THE PROCEDURE WITH A BOSTON SCIENTIFIC BALLOON EXPANDABLE STENT. PATIENT OUTCOME: THE PATIENT DID NOT REQUIRE ANY ADDITIONAL PROCEDURES DUE TO THIS OCCURRENCE. ACCORDING TO THE INITIAL REPORTER, THE PATIENT DID NOT EXPERIENCE ANY ADVERSE EFFECTS DUE TO THIS OCCURRENCE

    Patient problems: Calcium Deposits/Calcification; Stenosis

    MAUDE report 7340668 ↗

Recalls under the same FDA submission

These recalls involve devices cleared under P100028. One submission often covers many models, so check the product and lot details in each record.

  • Z-1940-2020 · Apr 15, 2020 · Terminated
    Formula 418 Renal Balloon-Expandable Stent, RPN FOR418-18-80-6-12, Order Number (GPN) G56611 Balloon-expandable stent made of 316L stainless steel with a slotted tube configuratio

Other STENT, RENAL devices

All STENT, RENAL devices →

Sources and updates

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