ESOFLIP
Received Dec 17, 2024 · Event occurred Mar 12, 2024
Report 9681384-2024-00254 · MDR key 20959288
Device
Generic name
Esophageal Dilator Balloon With Or Without Ele
Manufacturer
Covidien Ag Juarez (mmj)Model number
ES-330Catalog number
ES-330
Lot number
23H0624JZ
Product problems
- Application Program Problem
- Application Program Problem
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
H3 - EVALUATION SUMMARY: VISUAL INSPECTION AND FUNCTIONAL EVALUATION OF THE DEVICE NOTED NO ABNORMALITIES ASSOCIATED WITH THE REPORTED CONDITION,. FUNCTIONAL TESTING OF THE RETURN DEVICE CONFIRMED AN ADDITIONAL MANUFACTURING FAULT. THE ROOT CAUSE OF THE OBSERVED CONDITION WAS DETERMINED TO BE A RESULT OF A MANUFACTURING ACTIVITY. A PROCESS IMPROVEMENT HAS BEEN INITIATED TO PREVENT THIS CONDITION FROM RECURRING. A REVIEW OF THE DEVICE HISTORY RECORD INDICATES THE PRODUCT WAS RELEASED MEETING ALL MEDTRONIC QUALITY RELEASE SPECIFICATIONS AT THE TIME OF MANUFACTURE. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
Description of Event or Problem
ACCORDING TO THE REPORTER, THE CATHETER DID NOT PROPERLY DISPLAY OR REGISTER ON THE SCREEN. THERE WAS NO PATIENT OR USER HARM.
Remedial action
- Recall