inforMED
MalfunctionFAT

INFRAVISION 60 FR. ESOPHAGEAL KIT (5BX)

Received Oct 25, 2010 · Event occurred Oct 12, 2010

Report 2936485-2010-00789 · MDR key 1885975

Device

Generic name

Catheter

Catalog number

0220180560

Lot number

999999

Product problems

  • Detachment Of Device Component

Patient

UNK

  • No Information

Narrative

Description of Event or Problem

IT WAS REPORTED THAT AFTER THE PRODUCT WAS USED IN A PROCEDURE, THE SHEATH ON THE PRODUCT HAD SLIPPED OFF INTO THE STOMACH OF THE PT. IT WAS FURTHER REPORTED THAT THE SHEATH WAS REMOVED FROM THE PT. IT WAS CONFIRMED THAT NO OTHER PARTS REMAINED IN THE PT.

Additional Manufacturer Narrative

ADD'L INFO WILL BE PROVIDED ONCE THE INVESTIGATION IS COMPLETED.