inforMED
MalfunctionFAD

POLARIS? LOOP

Received Jun 16, 2026 · Event occurred May 19, 2026

Report 2124215-2026-31993 · MDR key 25516759

Device

Generic name

Stent, Ureteral

Model number

M0061552320

Catalog number

M0061552320

Lot number

0037374087

Product problems

  • Difficult to Advance
  • Material Deformation

Patient

Not reported

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

BLOCK H6: DEVICE CODE A0406 CAPTURES THE REPORTABLE EVENT OF STENT KINKED INSIDE THE PATIENT.

Description of Event or Problem

IT WAS REPORTED THAT A POLARIS LOOP URETERAL STENT WAS USED IN A URETERAL DILATATION PROCEDURE IN THE RIGHT KIDNEY. DURING THE PROCEDURE AND INSIDE THE PATIENT, IT WAS NOTICED THAT THE GUIDEWIRE WAS BLOCKED THROUGH THE STENT. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE AND THERE WERE NO PATIENT COMPLICATIONS REPORTED. A PHOTO OF THE COMPLAINT DEVICE WAS PROVIDED AND SHOWED THAT THE STENT HAD KINKS.