PROTEGE EVERFLEX SELF-EXPANDING STENT SYSTEM STANDARD
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
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.
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 |