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 |