INFRAVISION 56 FR. ESOPHAGEAL KIT (5BX)
Received Feb 5, 2010 · Event occurred Oct 12, 2006
Report 2936485-2009-00427 · MDR key 1621952
Device
Generic name
Instrument
Manufacturer
Stryker Endoscopy San JoseModel number
NACatalog number
220180540
Lot number
NI
Product problems
- Component(s), broken
Patient
NA
- No Consequences Or Impact To Patient
Narrative
Description of Event or Problem
BALLOON RUPTURED. IT WAS REPORTED THAT WHEN USING THE E-KIT, THE BALLOON RUPTURED AT 48ML INSIDE THE PATIENT. THE 2ND OCCURRENCE HAPPENED ON (B)(6)- IT WAS REPORTED THAT THEY SLOWLY INFLATED THE E-KIT TO 50ML AND AS IT WAS GOING UP TO THE LAST 7ML, IT STARTED TO LEAK.
Additional Manufacturer Narrative
AS PART OF A QUALITY SYSTEM IMPROVEMENT PLAN, STRYKER CORPORATION CONDUCTED A 2 YEAR RETROSPECTIVE MDR REVIEW TO ENSURE APPROPRIATE MDR REPORTING DECISIONS. EVENTS REPORTED TO STRYKER FROM 07/01/2006 TO 07/01/2008 WERE THE SCOPE OF THIS RETROSPECTIVE REVIEW. THESE EVENTS ARE BEING SUBMITTED UNDER EXEMPTION (B)(4). THERE IS ONE EVENT ASSOCIATED WITH THIS EVENT TYPE (MALFUNCTION) AND PRODUCT CODE FAT.
Remedial action
- Other