FDA Adverse Event Malfunction Summary report: N

THE LINX REFLUX MANAGEMENT SYSTEM

MDR report key: 15121622 · Received July 27, 2022

Report

Report Number
MW5111159
Event Type
Malfunction
Date Received
July 27, 2022
Date of Event
June 27, 2022
Report Date
July 26, 2022
Manufacturer
ETHICON, JOHNSON & JOHNSON SURGICAL TECHNOLOGIES / ETHICON ENDO-SURGERY, INC.
Product Code
QJN
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NC, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

LINX DEVICE SEEMS TO BE OPENED POSTERIORLY WITH DISLODGEMENT OF THE CONNECTIONS BETWEEN BEADS. FDA SAFETY REPORT ID# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2427042 THE LINX REFLUX MANAGEMENT SYSTEM LAPAROSCOPIC ACCESSORIES, ESOPHAGEAL SIZING QJN ETHICON, JOHNSON & JOHNSON SURGICAL TECHNOLOGIES / ETHICON ENDO-SURGERY, INC.

Patients

Seq Age Sex Outcome Treatment
1 79 YR Female