Blox
Received Jul 27, 2026 · Event occurred Jun 25, 2026
Report 3005099803-2026-03049 · MDR key 50025249
Device
Generic name
Endoscopic Bite Block
Manufacturer
Jiangsu Jianyu Health Medical Co LtdModel number
SBT-546-100Catalog number
SBT-546-100
Product problems
- Material Separation
Patient
Unknown
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
It was reported to Boston Scientific Corporation that a Bite Blox was used during a procedure performed on (b)(6) 2026. During the procedure, the Bite Blox device broke during use. The procedure was completed using another of the same device. There were no patient complication as a result of this event.Attempts to obtain additional information regarding the circumstances surrounding this event have been unsuccessful to date. Should additional relevant details become available, a supplemental report will be submitted.
Additional Manufacturer Narrative
Block E1: This event was reported by the distributor. The Healthcare facility is:(b)(6) Hospital.(b)(6). Phone number: (b)(6).Email Address: (b)(6).Fax number: (b)(6).Block D4, H4: The complainant was unable to report the lot number; therefore the manufacture date and expiration date are unknown.Block H6:IMDRF Device Code A0413 captures the reportable event of Bite Blox Material Separation.