MalfunctionMZQ

DSB DETACHABLE SILICONE BALLOON

Received Mar 19, 2002 · Event occurred Feb 13, 2002

Report 6000078-2002-00019 · MDR key 384130

Device

Generic name

Detachable Balloon

Manufacturer

Target Therapeutics/a Division Of Boston Scientific Corporation

Model number

Catalog number

TBD

Lot number

TBD

Product problems

Premature Activation
Device Issue

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 DSB DETACHABLE SILICONE BALLOON DETACHED PREMATURELY. THE CONDITION OF THE PATIENT IS UNKNOWN. COMPANY REPRESENTATIVE WILL FOLLOW-UP WITH ADDITIONAL INFORMATION.