inforMED
DeathMQR

WALLSTENT? ENTERAL ENDOPROSTHESIS

Received Jul 1, 2026 · Event occurred Jan 1, 2023

Report 3005099803-2026-02644 · MDR key 25686133

Device

Generic name

Stent, Colonic, Metallic, Expandable

Model number

M00565650

Catalog number

M00565650

Lot number

0026451101

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

NA · Unknown

  • Unspecified Tissue Injury

Narrative

Description of Event or Problem

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A WALLFLEX ENTERAL UNCOVERED STENT WAS IMPLANTED DURING A STENT PLACEMENT PROCEDURE PERFORMED ON AN UNKNOWN DATE. SUBSEQUENTLY, IT WAS REPORTED THAT THE PATIENT DIED APPROXIMATELY ONE YEAR AFTER THE DEVICE IMPLANTATION. A CAUSAL RELATIONSHIP BETWEEN THE DEVICE AND THE PATIENT'S DEATH HAS NOT BEEN ESTABLISHED.

Additional Manufacturer Narrative

BLOCK B2 (DATE OF DEATH) AND B3 (DATE OF EVENT): APPROXIMATED BASED ON THE YEAR PROVIDED IN THE EVENT. BLOCK H6: IMDRF IMPACT CODE F02 CAPTURES THE REPORTABLE EVENT OF THE PATIENT DEATH.