FDA Adverse Event Malfunction Summary report: Y

CLARIFIX

MDR report key: 23399782 · Received October 28, 2025

Report

Report Number
3015967359-2025-99445
Event Type
Malfunction
Date Received
October 28, 2025
Report Date
April 24, 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. REPORTED EVENTS: 15 EVENTS WERE REPORTED FOR THIS QUARTER. PRODUCT RETURN STATUS: 15 DEVICES HAD INVESTIGATION TYPES THAT HAVE NOT YET BEEN DETERMINED. EVALUATION FINDINGS (RESULTS/COMPONENTS): 15 DEVICES: RESULTS PENDING COMPLETION OF INVESTIGATION / PART/COMPONENT/SUB-ASSEMBLY TERM NOT APPLICABLE. PRODUCT DISPOSITION: 15 DEVICES: PRODUCT DISPOSITION IS NOT YET DETERMINED. ADDITIONAL INFORMATION: 15 DEVICES WERE LABELED FOR SINGLE-USE. 15 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 # 3015967359-2025-99445. SUPPLEMENTAL RATIONALE CORRECTED DATA: B5, H1, H6, H11. 15 EVENTS WERE PREVIOUSLY REPORTED DURING THE REPORTING QUARTER; HOWEVER, 1 EVENT WAS REPORTED IN ERROR. 14 PREVIOUSLY REPORTED EVENTS ARE INCLUDED IN THIS FOLLOW-UP RECORD. PRODUCT RETURN STATUS. 3 DEVICES WERE NOT AVAILABLE FOR EVALUATION. 4 DEVICES WERE RECEIVED. 7 DEVICES HAD INVESTIGATION TYPES THAT HAVE NOT YET BEEN DETERMINED. EVALUATION FINDINGS (RESULTS/COMPONENTS). 3 DEVICES: NO FINDINGS AVAILABLE / PART/COMPONENT/SUB-ASSEMBLY TERM NOT APPLICABLE 4 DEVICES: MANUFACTURING PROCESS PROBLEM IDENTIFIED / MEMBRANE, ADHESIVE 7 DEVICES: RESULTS PENDING COMPLETION OF INVESTIGATION / PART/COMPONENT/SUB-ASSEMBLY TERM NOT APPLICABLE. PRODUCT DISPOSITION. 2 DEVICES: PRODUCT NOT RECEIVED. 4 DEVICES: SCRAPPED BY STRYKER. 1 DEVICE: SCRAPPED BY CUSTOMER. 7 DEVICES: PRODUCT DISPOSITION IS NOT YET DETERMINED.

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 JULY 1 ¿ SEPTEMBER 30, 2025. THIS REPORT SUMMARIZES 15 EVENTS FOR THE FAILURE: FREE OR UNRESTRICTED FLOW. 1 EVENT HAD PROBLEM IDENTIFIED BEFORE CLINICAL USE/EXPOSURE; THERE WAS NO PATIENT INVOLVEMENT. 13 EVENTS HAD NO HEALTH CONSEQUENCES OR IMPACT. 1 EVENT HAD CODE NOT FOUND!

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 (B)(6)- (B)(6) 2025. THIS REPORT SUMMARIZES 14 EVENTS FOR THE FAILURE: FREE OR UNRESTRICTED FLOW. 13 EVENTS HAD NO HEALTH CONSEQUENCES OR IMPACT. 1 EVENT HAD A CANCELLED/ABORTED SURGICAL PROCEDURE AND TEMPORARY IMPAIRMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2307184 CLARIFIX UNIT, CRYOSURGICAL, ACCESSORIES GEH ENTELLUS MEDICAL, INC. 00850002250404

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown