FDA Adverse Event Malfunction Summary report: N

HANAROSTENT?? ESOPHAGUS TTS (CCC)

MDR report key: 24922621 · Received April 20, 2026

Report

Report Number
3008146331-2026-00002
Event Type
Malfunction
Date Received
April 20, 2026
Date of Event
February 11, 2026
Report Date
May 14, 2026
Manufacturer
M.I.TECH CO., LTD.
Product Code
ESW
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
RISK MANAGER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE MANUFACTURER HAS REQUESTED THE DISTRIBUTOR TO RETURN THE DEVICE FOR THE PRODUCT ANALYSIS, AND THE RETRIEVAL PROCESS IS CURRENTLY UNDERWAY. ONCE THE DEVICE IS RECEIVED AND EVALUATED, A FOLLOW-UP REPORT WILL BE SUBMITTED, INCLUDING A CASE ANALYSIS REPORT WITH THE IDENTIFIED ROOT CAUSE.

Description of Event or Problem · 0

CUSTOMER CALLED TO REPORT A FRAGMENTED STENT. PRODUCT BROKE APART INSIDE THE PATIENT. DOCTOR WAS ABLE TO REMOVE THE PART SUCCESSFULLY. THE STENT WAS REMOVED FROM THE PATIENT TODAY (B)(6) 2026 SUCCESSFULLY. IMPLANT DATE WAS (B)(6) 2025. THE CUSTOMER IS GOING TO SEND THE ITEM IN FOR EVALUATION. CUSTOMER DOES NOT WANT A CREDIT NOR A REPLACEMENT. THEY JUST WANT TO HAVE THE STENT EVALUATED. I PROVIDED THE CUSTOMER THE CASE NUMBER. UNIT WILL BE SENT IN FOR EVALUATION. CUSTOMER REQUEST A REPORT FOR THE FINDINGS ON THE ITEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
207834 HANAROSTENT?? ESOPHAGUS TTS (CCC) HANAROSTENT?? ESOPHAGUS TTS (CCC) ESW M.I.TECH CO., LTD. ECBA-20-080-230 24101311

Patients

Seq Age Sex Outcome Treatment
1 58 YR Male Required Intervention