Model Number M00562551 |
Device Problem
Detachment of Device or Device Component (2907)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 09/17/2020 |
Event Type
Injury
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Manufacturer Narrative
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(b)(4).The device has been received for analysis; however the evaluation has not been completed.Therefore, the cause of the reported malfunction has not been determined.Upon completion of the failure analysis of the complaint device, if there is any further relevant information from that review, a supplemental medwatch will be filed.
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Event Description
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It was reported to boston scientific corporation that a profile small oval flexible snare was used during a colonoscopy procedure performed on (b)(6) 2020.According to the complainant, during the procedure, after opening and closing the device several times, the snare loop broke and fell off inside the patient.The broken snare loop was retrieved using graspers and the procedure was completed with another profile snare.There were no patient complications reported as a result of this event.The patient's condition at the conclusion of the procedure was reported to be fine.
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Event Description
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It was reported to boston scientific corporation that a profile small oval flexible snare was used during a colonoscopy procedure performed on (b)(6) 2020.According to the complainant, during the procedure, after opening and closing the device several times, the snare loop broke and fell off inside the patient.The broken snare loop was retrieved using graspers and the procedure was completed with another profile snare.There were no patient complications reported as a result of this event.The patient's condition at the conclusion of the procedure was reported to be fine.
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Manufacturer Narrative
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Block h6: problem code 2907 captures the reportable event of snare loop detachment of device or device component.Block h10: (product investigation).One profile snare was received for analysis.Visual evaluation of the returned device revealed that the device has the loop detached.Inspection under microscope revealed that the loop cannula had evidence of crimp marks.Boston scientific manufacturing processes include extensive inspections to ensure that all finished devices meet specifications, however there is no control how the devices are handled/manipulated in the field.Based on the information available and the analysis performed, the most probable cause for this complaint is adverse event related to procedure, due to the adverse event occurred during the procedure and the device had no influence on the event.A review of the manufacturing documentation for this device revealed that no anomalies or deviations related to the event occurred during manufacturing.A search of the complaint database confirmed that no similar complaints exist for the specified lot.
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Search Alerts/Recalls
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