FDA Adverse Event Malfunction Summary report: Y

CLARIFIX

MDR report key: 22647413 · Received July 29, 2025

Report

Report Number
3006345872-2025-99001
Event Type
Malfunction
Date Received
July 29, 2025
Report Date
January 29, 2026
Manufacturer
ENTELLUS MEDICAL, INC.
Product Code
GEH
UDI-DI
00850002250404
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THIS RECORD IS A CONSOLIDATION OF RECORDS SUMMARIZED AS A PART OF THE FDA VOLUNTARY MALFUNCTION SUMMARY REPORTING PROGRAM. MFR REPORT#: 3006345872-2025-99001. SUPPLEMENTAL RATIONALE: CORRECTED DATA: B5, H6, H11. 15 PREVIOUSLY REPORTED EVENTS WERE INCLUDED IN THIS FOLLOW-UP RECORD. PRODUCT RETURN STATUS: 1 DEVICE INVESTIGATION TYPE HAS NOT YET BEEN DETERMINED. 7 DEVICES WERE NOT AVAILABLE FOR EVALUATION. 7 DEVICES WERE RECEIVED. EVALUATION FINDINGS (RESULTS/COMPONENTS): 1 DEVICE: RESULTS PENDING COMPLETION OF INVESTIGATION / PART/COMPONENT/SUB-ASSEMBLY TERM NOT APPLICABLE. 7 DEVICES: NO FINDINGS AVAILABLE / PART/COMPONENT/SUB-ASSEMBLY TERM NOT APPLICABLE. 1 DEVICE: MANUFACTURING PROCESS PROBLEM IDENTIFIED, FATIGUE PROBLEM / BALLOON, MEMBRANE, ADHESIVE. 6 DEVICES: MANUFACTURING PROCESS PROBLEM IDENTIFIED / MEMBRANE, ADHESIVE. PRODUCT DISPOSITION: 7 DEVICES: SCRAPPED BY CUSTOMER. 7 DEVICES: SCRAPPED BY STRYKER. 1 DEVICE: PRODUCT DISPOSITION IS NOT YET DETERMINED.

Additional Manufacturer Narrative · 0

THIS RECORD IS A CONSOLIDATION OF RECORDS SUMMARIZED AS A PART OF THE FDA VOLUNTARY MALFUNCTION SUMMARY REPORTING PROGRAM. REPORTED EVENTS: 18 EVENTS WERE REPORTED FOR THIS QUARTER. PRODUCT RETURN STATUS: 8 DEVICES WERE RECEIVED. 10 DEVICES HAD INVESTIGATION TYPES THAT HAVE NOT YET BEEN DETERMINED. ADDITIONAL INFORMATION: 18 DEVICES WERE NOT REPROCESSED OR REUSED.

Additional Manufacturer Narrative · 0

THIS RECORD IS A CONSOLIDATION OF RECORDS SUMMARIZED AS A PART OF THE FDA VOLUNTARY MALFUNCTION SUMMARY REPORTING PROGRAM. MFR REPORT # 3006345872-2025-99001. SUPPLEMENTAL RATIONALE. CORRECTED DATA: B5, H6, H11. 15 PREVIOUSLY REPORTED EVENTS WERE INCLUDED IN THIS FOLLOW-UP RECORD. PRODUCT RETURN STATUS. 8 DEVICES WERE NOT AVAILABLE FOR EVALUATION. 7 DEVICES WERE RECEIVED. EVALUATION FINDINGS (RESULTS/COMPONENTS). 8 DEVICES: NO FINDINGS AVAILABLE / PART/COMPONENT/SUB-ASSEMBLY TERM NOT APPLICABLE. 1 DEVICE: MANUFACTURING PROCESS PROBLEM IDENTIFIED, FATIGUE PROBLEM / BALLOON, MEMBRANE, ADHESIVE. 6 DEVICES: MANUFACTURING PROCESS PROBLEM IDENTIFIED / MEMBRANE, ADHESIVE. PRODUCT DISPOSITION. 8 DEVICES: SCRAPPED BY CUSTOMER. 7 DEVICES: SCRAPPED BY STRYKER.

Description of Event or Problem · 0

THIS RECORD IS A CONSOLIDATION OF RECORDS SUMMARIZED AS A PART OF THE FDA VOLUNTARY MALFUNCTION SUMMARY REPORTING PROGRAM. EVENTS OCCURRED BETWEEN APRIL 1 ¿ JUNE 30 2025. THIS REPORT SUMMARIZES 15 EVENTS FOR THE FAILURE: FREE OR UNRESTRICTED FLOW. 15 EVENTS HAD NO HEALTH CONSEQUENCES OR IMPACT.

Description of Event or Problem · 0

THIS REPORT SUMMARIZES 18 EVENTS FOR THE FAILURE: FREE OR UNRESTRICTED FLOW. 17 EVENTS HAD NO HEALTH CONSEQUENCES OR IMPACT. 1 EVENT HAD PROBLEM IDENTIFIED BEFORE CLINICAL USE/EXPOSURE; THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

NO CHANGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1087744 CLARIFIX UNIT, CRYOSURGICAL, ACCESSORIES GEH ENTELLUS MEDICAL, INC. 00850002250404

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown