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Formula G56972Recalls & 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
1
Recalls naming it
0

Summary

The FDA's MAUDE database contains 1 adverse event report that list this exact device (DI 10827002569727), received between Jul 13, 2015 and Jul 13, 2015 — classified as 1 injury.

The most frequently reported specific device problem is “Device Dislodged or Dislocated” (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

  • Device Dislodged or Dislocated1
  • Failure to Advance1

Patient problems

  • Vessel Or Plaque, Device Embedded In1

Recent adverse event reports

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

  • InjuryJul 13, 2015Failure to Advance; Device Dislodged or Dislocated

    DESCRIPTION OF EVENT ACCORDING TO COMPLAINANT: RIGHT EXTERNAL ILIAC ARTERY ATTEMPTED STENTING FROM AN IPSILATERAL FEMORAL APPROACH BY DOCTOR. PRE PTA WITH A 6X40 BSC BALLOON. ANSEL SHEATH WAS NOT ADVANCED DISTAL TO THE LESION. POST PTA A FORMULA14 6X20 WAS ADVANCED TO THE HYPO AND WAS UNABLE TO ENTIRELY CROSS THE LESION AND WAS LOCATED TOO FAR INTO THE ILIAC ARTERY. UPON ATTEMPTING TO ADVANCE THE STENT ALL THE WAY INTO THE RIGHT HYPO THE STENT BECAME DISLODGED FROM BALLOON AND FELL INTO THE ILIAC ARTERY. PATIENT OUTCOME: THE PHYSICIAN WAS UNABLE TO SNARE AND REMOVE THE STENT AND ULTIMATELY HAD TO STENT THE FORMULA TO THE ILIAC SIDE WALL WITH AN EXPRESS LD STENT.

    Patient problems: Vessel Or Plaque, Device Embedded In

    MAUDE report 4918017 ↗

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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