inforMED
MalfunctionPLL

SUBMUCOSAL INJECTION AGENT

Received Dec 23, 2022

Report MW5114007 · MDR key 16051329

Device

Generic name

Orise Gel (submucosal Lifting Agent)

Model number

M00519200

Catalog number

M00519200

Lot number

2931348

Product problems

  • Nonstandard Device

Patient

Unknown

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

RECEIVED A RECALL NOTICE FOR BOSTON SCIENTIFIC'S ORISE GEL GTIN: (B)(4), REF: (B)(4). LOT: 29313438.