inforMED
InjuryEEA

EEA

Received May 25, 2016 · Event occurred Feb 1, 2016

Report MW5062465 · MDR key 5678957

Device

Manufacturer

Covidien

Product problems

  • Inadequacy of Device Shape and/or Size

Patient

49.000 YR

  • Hemorrhage/Blood Loss/Bleeding
  • Injury
  • Hemorrhage/Blood Loss/Bleeding
  • Injury

Narrative

Description of Event or Problem

(B)(4). DURING ATTEMPTED PLACEMENT OF THIS DEVICE PERORAL, IT BECAME STUCK AND REQUIRED 30-45 MINUTES TO PASS INSTEAD OF 3 MINUTES AS EXPECTED. SIGNIFICANT MUCOSAL DAMAGE AND BLEEDING OCCURRED. IT APPEARED THAT THE DEVICE WAS NOT THE RIGHT SHAPE AND WAS TOO BIG.