BEUDAMED
    FDA Adverse Event Other Summary report: N

    WALLFLEX ESOPHAGEAL STENT

    MDR report key: 1750051 · Received July 1, 2010

    Report

    Report Number
    MW5016597
    Event Type
    Other
    Date Received
    July 1, 2010
    Date of Event
    May 29, 2010
    Report Date
    July 1, 2010
    Manufacturer
    BOSTON SCIENTIFIC CORP HEADQUARTERS
    Product Code
    ESW
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    OPERATING ROOM: ESOPHAGEAL STENT USED FOR PROCEDURE, EXPIRED 05/20/2010. DR USED STENT BECAUSE IT IS THE ONLY ONE AVAILABLE. STENT OBTAINED FROM GI LAB. DIAGNOSIS OR REASON FOR USE: SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 WALLFLEX ESOPHAGEAL STENT WALLFLEX ESOPHAGEAL STENT ESW BOSTON SCIENTIFIC CORP HEADQUARTERS 1675 13053161

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR