FDA Adverse Event Injury Summary report: N

PROTEGE EVERFLEX SELF-EXPANDING STENT SYSTEM STANDARD

MDR report key: 24349371 · Received February 16, 2026

Report

Report Number
2183870-2026-00077
Event Type
Injury
Date Received
February 16, 2026
Date of Event
January 20, 2026
Report Date
February 16, 2026
Manufacturer
COVIDIEN
Product Code
FGE
UDI-DI
00821684060247
PMA / PMN Number
P110023
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WV, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE STENT PRB35-08-060-120 PROTEGE EF V10 FRACTURED DURING A PROCEDURE. THE PHYSICIAN SNARED OUT THE FRACTURED STENT AND USED ANOTHER STENT ON THAT AREA THAT NEEDED STENTED. THE DEVICE WAS SAFELY REMOVED FROM THE PATIENT. A NEW MEDTRONIC DEVICE WAS USED TO COMPLETE THE PROCEDURE. NO FURTHER PATIENT COMPLICATIONS HAVE BEEN REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
412388 PROTEGE EVERFLEX SELF-EXPANDING STENT SYSTEM STANDARD STENTS, DRAINS AND DILATORS FOR THE BILIARY DUCTS FGE COVIDIEN C187528 00821684060247

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention