inforMED
MalfunctionDXT

BASIC COMPAK INFLATION DEVICE

Received Apr 23, 2025 · Event occurred Apr 9, 2025

Report 3011642792-2025-00049 · MDR key 21891999

Device

Generic name

Inflation Device

Catalog number

IN4130/CNK

Lot number

I3001130

Product problems

  • Failure to Deflate
  • Failure to Deflate

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE SUSPECT DEVICE IS NOT EXPECTED TO RETURN FOR EVALUATION. THE COMPLAINT CANNOT BE CONFIRMED AND A ROOT CAUSE CANNOT BE DETERMINED. A REVIEW OF THE COMPLAINT DATABASE WAS PERFORMED AND TWO SIMILAR COMPLAINTS FOR THIS LOT NUMBER WERE FOUND. A REVIEW OF THE DEVICE HISTORY RECORD WAS PERFORMED AND NO EXCEPTION DOCUMENTS WERE IDENTIFIED.

Description of Event or Problem

THE ACCOUNT ALLEGES THAT DURING AN INTERVENTIONAL PROCEDURE, THE INFLATION DEVICE WAS UNABLE TO DEFLATE THE BALLOON. A NEW DEVICE WAS USED TO COMPLETE THE PROCEDURE.