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Model Number M00535110 |
Device Problems
Break (1069); Failure to Conduct (1114)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 10/12/2019 |
Event Type
malfunction
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Manufacturer Narrative
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(b)(4).Although the suspect device has been received, 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 mdr will be filed.
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Event Description
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It was reported to boston scientific corporation that a stonetome was used in the papilla during a common bile duct stone removal procedure performed on (b)(6) 2019.According to the complainant, during the procedure, upon incision at the papilla, the cutting wire broke.Additionally, it was reported that the cutting ability of the stonetome was not good initially, and load resistance was applied.Reportedly, no part of the device was detached inside the patient.The procedure was completed with a second stonetome, using the same generator and active cord.There were no patient complications reported as a result of this event.
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Manufacturer Narrative
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The problem code 1069 captures the reportable event of cutting wire broken.Visual examination of the returned device revealed that the cutting wire was broken, bent and blackened causing the device cutting wire unable to energized.There was no other issue noted.The complaint was consistent with the reported event of broken cutting wire.It is most likely that a peak of voltage could have caused the failures noted or if the device was not in contact with the tissue when it was energized.Therefore, the most probable cause of this complaint is adverse event related to procedure since it is the most likely that the adverse event occurred during the procedure and the device had no influence on event.A review of the device history record (dhr) was performed and confirmed that this device met all material, assembly and performance specifications at the time of release to distribution.
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Event Description
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It was reported to boston scientific corporation that a stonetome was used in the papilla during a common bile duct stone removal procedure performed on (b)(6) 2019.According to the complainant, during the procedure, upon incision at the papilla, the cutting wire broke.Additionally, it was reported that the cutting ability of the stonetome was not good initially, and load resistance was applied.Reportedly, no part of the device was detached inside the patient.The procedure was completed with a second stonetome, using the same generator and active cord.There were no patient complications reported as a result of this event.
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Search Alerts/Recalls
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