inforMED
InjuryPID

RIGIFLEX II

Received Jun 17, 2022 · Event occurred May 24, 2022

Report 3005099803-2022-03321 · MDR key 14738865

Device

Generic name

Dilator, Esophageal

Model number

M00554500

Catalog number

5450

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

Unknown

  • Perforation
  • Perforation

Narrative

Additional Manufacturer Narrative

THE COMPLAINANT WAS UNABLE TO REPORT THE LOT NUMBER; THEREFORE, THE MANUFACTURE DATE AND EXPIRATION DATE ARE UNKNOWN. (B)(4). THE COMPLAINANT INDICATED THAT THE DEVICE WAS DISPOSED AND WILL NOT BE RETURNED FOR EVALUATION; THEREFORE, A FAILURE ANALYSIS OF THE COMPLAINT DEVICE COULD NOT BE COMPLETED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED, A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Description of Event or Problem

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A RIGIFLEX II DILATATION BALLOON WAS USED IN THE ESOPHAGUS DURING AN ESOPHAGOGASTRODUODENOSCOPY (EGD) PROCEDURE PERFORMED ON (B)(6) 2022. AFTER THE PROCEDURE, WHEN THE PHYSICIAN LOOKED IN THE ESOPHAGUS POST DILATION, PERFORATION WAS NOTICED. ENDOSCOPIC CLOSURE WAS ATTEMPTED BUT A SURGICAL INTERVENTION WAS NEEDED. SURGERY WAS SUCCESSFUL; HOWEVER, THE PATIENT WAS ADMITTED TO THE HOSPITAL BEYOND THE STANDARD OF CARE. THERE WAS NO ALLEGED PROBLEM WITH THE BALLOON. THE PATIENT CONDITION FOLLOWING THE INTERVENTION WAS REPORTED TO BE STABLE.