inforMED
MalfunctionEJW

POLYFLEX ESOPHAGEAL STENT

Received Sep 12, 2006 · Event occurred Aug 29, 2006

Report 6000146-2006-00007 · MDR key 880340

Device

Generic name

Esophageal Prosthesis

Model number

*

Catalog number

1430

Lot number

UNK

Product problems

  • Migration or Expulsion of Device
  • Device, or device fragments remain in patient

Patient

78 YR

  • Migration
  • Nonresorbable materials, unretrieved in body
  • Surgical procedure

Narrative

Description of Event or Problem

THE COMPLAINANT HAS REPORTED THAT A FEMALE PT UNDERWENT A THERAPEUTIC PLACEMENT OF A STENT FOR TREATMENT OF A REFRACTORY STRICTURE IN HER DISTAL ESOPHAGUS. THE DEVICE WAS PLACED IN 2006 (UNK FACILITY/UNK CLINICIAN). SOME TIME AFTER THE INITIAL PLACEMENT, THE STENT WAS NOTED TO HAVE MIGRATED TO THE PT'S STOMACH. THE CLINICIAN ATTEMPTED TO RETRIEVE THE INITIAL STENT WITHOUT SUCCESS. THE CLINICIAN PLACED ANOTHER POLYFLEX STENT WHICH ALSO MIGRATED TO THE PT STOMACH (PLEASE NOTE ASSOCIATED MEDWATCH 6000146-2006-00008 ATTACHED). THE PT STRICTURE STATUS WAS UNCHANGED. THE CLINICIAN HAS INDICATED THAT THE DEVICES ARE NOT ABLE TO BE REMOVED ENDOSCOPICALLY. IT IS UNK IF THE PT HAS HAD SUBSEQUENT SURGICAL INTERVENTION TO REMOVE THE MIGRATED DEVICES. THERE IS NO FURTHER INFO AVAILABLE AT THIS TIME. REQUESTS FOR AN UPDATE TO THE PT STATUS HAVE NOT BEEN PROVIDED AT TIME OF THIS SUBMISSION.

Additional Manufacturer Narrative

THIS DEVICE HAS NOT BEEN RECEIVED BY THIS MFR. AN EVAL HAS NOT YET BEEN PERFORMED. THEREFORE, A FAILURE ANALYSIS IS NOT AVAILABLE AND WE ARE UNABLE TO DETERMINE IF THE DEVICE MET ITS SPECS. SHOULD FURTHER RELEVANT DETAILS BECOME AVAILABLE; A SUPPLEMENTAL MEDWATCH REPORT WILL BE FILED UNDER THE APPROPRIATE SEQUENCE NUMBER. WE ARE UNABLE TO DETERMINE THE RELATIONSHIP BETWEEN THIS DEVICE AND THE CAUSE FOR THIS EVENT AT THIS TIME. OUR DIRECTIONS FOR USE OUTLINE APPROPRIATE PLACEMENT, ACCESS AND MAINTENANCE PROCEDURES.