It was reported to boston scientific corporation that a spyglass retrieval basket was used in the main pancreatic duct during an endoscopic retrograde cholangiopancreatography (ercp), cholangioscopy guided litothripsy and pancreatic stone removal procedure performed on (b)(6) 2020.According to the complainant, during the procedure, a dilation was performed with a soehendra dilator narrowing the distal of the stone in the main pancreatic duct.Cholangioscopy and lithotripsy were then performed using a spyscope ds ii and an aulotilth onetouch ehl (electrohydraulic lithotripsy) probe, which was not successful.The autolith probe was not powerful enough to crash the stone.Reportedly, 260 pulses of ehl were delivered when attempting to break up the stone.As a result, a spybasket was attempted to be used to extract the stone.However, the stone and the spybasket got impacted.After multiple attempts to pull the stone; the handle of the spybasket got broken.Reportedly, the physician applied too much force while trying to pull the basket out of the duct.The handle detached from the wire and it remained inside of the patient's biliary system.An argon plasma coagulator was used to cut the spybasket and attempted to pull the device and stone out but was not successful.The impacted spybasket remained inside the patient and the procedure was not completed due to this event.A surgery was performed the day after and reportedly, the spybasket was removed from the patient successfully.The patient's current condition was reported to be recovering and feeling good.
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