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Model Number M00565050 |
Device Problems
Activation, Positioning or Separation Problem (2906); Material Deformation (2976); Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 02/10/2023 |
Event Type
malfunction
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Event Description
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It was reported to boston scientific corporation on (b)(6) 2023, that a wallflex enteral colonic stent was to be implanted in the colo-hepatic region to treat a 5cm malignant intestinal obstruction due to adenocarcinoma during an intestinal stent implantation performed on (b)(6) 2023.The patient's anatomy was not tortuous and was dilated prior to stent placement.During the procedure, the stent could not be deployed smoothly inside the patient.The outer sheath was kinked, and the stent was partially deployed when it was removed from the patient.The procedure was completed with another wallflex enteral colonic stent.There were no reported patient complications as a result of this event.
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Manufacturer Narrative
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Imdrf device code a15 captures the reportable event of stent damaged.The wallflex enteral colonic stent and delivery system were received for analysis.Visual inspection revealed that the stent was fully expanded and deployed, the wires of the stent were loose in the middle, the outer sheath was kinked in two sections, and the inner sheath was kinked.Microscopical inspection confirmed that the wires were loose in the middle of the stent.A dimensional inspection of the outer diameter of the delivery system confirmed that it was within specification.No other issues were noted with the delivery system.Product analysis confirmed the reported device malfunction of sheath kinked; however, the reported device malfunction of a stent partially deployed was not confirmed as the stent returned fully expanded and deployed.The investigation concluded that the reported device malfunctions of outer sheath kinked, inner sheath kinked, and damaged stent were most likely due to procedural factors such as lesion characteristics, the handling of the device, or the technique used by the physician.Therefore, review and analysis of all available information indicated that the most probable cause is adverse event related to procedure.A product labeling review identified that the device was used per the instructions for use (ifu)/product label.
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Search Alerts/Recalls
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