Model Number M00558630 |
Device Problem
Leak/Splash (1354)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 10/13/2022 |
Event Type
malfunction
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Manufacturer Narrative
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Device code (b)(4) captures the reportable event of balloon leaked in the esophagus.
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Event Description
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It was reported to boston scientific corporation that a cre pro wireguided dilatation balloon was used in the proximal esophagus during an esophageal dilatation procedure on (b)(6) 2022.During the procedure, a leak was discovered at the distal tip of the balloon and it could not be fully inflated.The procedure was completed with the original device at this time.There were no patient complications reported as a result of this event.
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Event Description
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It was reported to boston scientific corporation that a cre pro wireguided dilatation balloon was used in the proximal esophagus during an esophageal dilatation procedure on (b)(6) 2022.During the procedure, a leak was discovered at the distal tip of the balloon and it could not be fully inflated.The procedure was completed with the original device at this time.There were no patient complications reported as a result of this event.
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Manufacturer Narrative
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Block h6: device code a0504 captures the reportable event of balloon leaked in the esophagus.Block h10: investigation results block h10: investigation results the returned cre pro wireguided dilatation balloon was analyzed and a visual examination found that the balloon and catheter of the device had no damages.Functional analysis was performed and the balloon was inflated without a problem.However, the balloon would not hold pressure due to a pinhole in the balloon.Microscopic inspection found the balloon had a pinhole located approximately 18mm from the tip.No other problems with the device were noted.With all available information, boston scientific concludes the reported event of balloon leak was confirmed.The pinhole found in the balloon is likely to have occurred due to factors encountered during the procedure: excess pressure, interaction with other devices, anatomical restrictions or interaction with any surface during the procedure could create friction on the balloon and cause a pinhole.Therefore, the most probable root cause is adverse event related to procedure.
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Search Alerts/Recalls
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