inforMED
MalfunctionKNQ

CRE FIXED WIRE ESOPHAGEAL BALLOON DILATATION CATHETER

Received Aug 15, 2022

Report MW5111484 · MDR key 15233649

Device

Generic name

Dilator, Esophageal

Catalog number

REF M00558380

Lot number

29026888

Product problems

  • Failure to Advance
  • Mechanical Jam

Patient

Unknown

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

DR. WAS TRYING TO DO A BALLOON DILATATION DURING AN EGD, HOWEVER WHEN FEEDING THE BALLOON THROUGH THE SCOPE'S CHANNEL, IT WOULD NOT GO THROUGH, IT KEEPS GETTING STUCK. TRIED TO CHANGE SCOPES BUT IT WAS STILL GETTING STUCK. WE CHANGED THE BALLOON, AND IT FINALLY WENT THROUGH. FDA SAFETY REPORT ID #(B)(4).