During an endoscopic retrograde cholangiopancreatography (ercp), the physician used two (2) cook fusion omni-tome pre-loaded sphincterotomes.The catheter twisted on itself, the guide moved back up on the catheter, formed a loop, despite the wire lock and came out of the biliary tract [loss of wire guide access] (see related mdr 1037905-2018-00302).The devices were not broken, they were still used.There was no patient injury.There was a waste of time during the procedure.[the user also reported that] incidents happened every second time with these devices (subject of this report).A section of the device did not remain inside the patient¿s body.The patient did not require any additional procedures due to this occurrence.According to the initial reporter, the patient did not experience any adverse effects due to this occurrence.
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