inforMED
MalfunctionFAD

POLARIS? LOOP

Received Apr 22, 2026 · Event occurred Feb 18, 2026

Report 2124215-2026-21782 · MDR key 24956094

Device

Generic name

Stent, Ureteral

Model number

M0061552320

Catalog number

M0061552320

Lot number

0033875977

Product problems

  • Deformation Due to Compressive Stress
  • Difficult to Advance

Patient

63 YR · Male

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

BLOCK E1: INITIAL REPORTER FACILITY NAME: (B)(6). BLOCK H6: DEVICE CODE A040601 CAPTURES THE REPORTABLE EVENT OF STENT BUCKLED MATERIAL INSIDE THE PATIENT.

Description of Event or Problem

IT WAS REPORTED THAT A POLARIS LOOP URETERAL STENT WAS USED IN A RIGID URETEROSCOPIC LITHOTRIPSY PROCEDURE IN THE RIGHT RENAL PELVIS. DURING INSERTION AND INSIDE THE PATIENT, IT WAS NOTICED THAT THE STENT WAS STUCK. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE AND THERE WERE NO PATIENT COMPLICATIONS REPORTED. THE PATIENT CONDITION FOLLOWING THE PROCEDURE WAS STABLE. PICTURE PROVIDED BY THE CUSTOMER SHOWED THAT THE STENT WAS BUCKLED.