FDA Adverse Event Other Summary report: N

UNITIP HIGH RESOLUTION CATHETER

MDR report key: 17772649 · Received September 19, 2023

Report

Report Number
17772649
Event Type
Other
Date Received
September 19, 2023
Date of Event
June 12, 2023
Report Date
September 15, 2023
Manufacturer
UNISENSOR AG
Product Code
FFX
Report Source
User Facility report
Reporter Location
PA
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Description of Event or Problem · 0

DURING ESOPHAGEAL MOTILITY STUDY STAFF RN WAS UNABLE TO INSERT CATHETER AND PERFORM PROCEDURE. PROBE GOT INTO ESOPHAGUS AND GAVE RESISTANCE. PROBE REMOVED AND VISIBLE BEND IN TUBE NOTICED THAT WAS THERE PRIOR TO INSERTION. SECOND PROBE WAS THEN UTILIZED FOR SUCCESSFUL PROCEDURE WITH THIS PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1891560 UNITIP HIGH RESOLUTION CATHETER SYSTEM, GASTROINTESTINAL MOTILITY (ELECTRICAL) FFX UNISENSOR AG K123245-E-1047-D

Patients

Seq Age Sex Outcome Treatment
1 Unknown