inforMED
InjuryPID

RIGIFLEX II

Received Jan 8, 2020 · Event occurred Dec 13, 2019

Report 3005099803-2019-06443 · MDR key 9564068

Device

Generic name

Dilator, Esophageal

Model number

M00554510

Catalog number

5451

Lot number

C021175

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • Perforation
  • No Code Available
  • Perforation
  • No Code Available

Narrative

Additional Manufacturer Narrative

PATIENT'S EXACT AGE IS UNKNOWN; HOWEVER, IT WAS REPORTED THAT THE PATIENT WAS OVER THE AGE OF 18. (B)(4). ACCORDING TO THE COMPLAINANT, THE SUSPECT DEVICE HAS BEEN DISPOSED AND IS NOT AVAILABLE FOR RETURN. IF ANY FURTHER RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL MDR WILL BE FILED.

Description of Event or Problem

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A RIGIFLEX II DILATATION BALLOON WAS USED IN THE ESOPHAGUS DURING AN ESOPHAGOGASTRODUODENOSCOPY (EDG) WITH DILATATION PROCEDURE PERFORMED ON (B)(6) 2019. ACCORDING TO THE COMPLAINANT, AFTER THE DILATATION, IT WAS NOTED THAT THE ESOPHAGUS HAD BEEN PERFORATED. THE PATIENT WAS THEN TRANSFERRED TO (B)(6) WHERE AN EMERGENT SURGERY WAS PERFORMED BY A CARDIO-THORACIC SURGEON. FOLLOWING THE TREATMENT, THE PATIENT CONDITION WAS REPORTED TO BE STABLE. IT WAS NOTED THAT THERE WAS NO MALFUNCTION OF THE RIGIFLEX II DILATATION BALLOON, AND PER THE PHYSICIAN'S ASSESSMENT, THE CAUSE OF THE PERFORATION WAS THE ANATOMY. BOSTON SCIENTIFIC HAS BEEN UNABLE TO OBTAIN ADDITIONAL INFORMATION REGARDING THE EVENT TO DATE, DESPITE GOOD FAITH EFFORTS.