inforMED
MalfunctionMZQ

VENT MANDREL DSB DETACHABLE SILICONE BALLOON

Received Sep 7, 2001 · Event occurred Aug 7, 2001

Report 6000078-2001-00054 · MDR key 351061

Device

Generic name

Vent Mandrel

Model number

*

Catalog number

430170

Lot number

4064612

Product problems

  • Fracture
  • Difficult to Insert
  • Replace

Patient

NO INFO

  • Unknown (for use when the patient's condition is not known)

Narrative

Description of Event or Problem

IT WAS REPORTED TO BSC-TARGET THAT DURING THE PROCEDURE THE VENT MANDREL FRACTURED 1/2 WAY UP. A SECOND UNIT WAS USED AND PROCEDURE WAS SUCCESSFUL. PER ADDITIONAL INFORMATION REQUESTED THROUGH A COMPANY REPRESENTATIVE IN AUGUST 2001: "THE WIRE BROKE AS THE PHYSICIAN WAS PUTTING IT INTO THE CATHETER. IT BROKE HALFWAY UP THE SHAFT DEFINITELY PROXIMAL TO THE TUBING."