Model Number M00509161 |
Device Problem
Human-Device Interface Problem (2949)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 01/16/2023 |
Event Type
malfunction
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Manufacturer Narrative
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Device code a22 captures the reportable event of feeding tube patient removal.
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Event Description
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It was reported to boston scientific corporation that an endovive securi-t replacement bolster was used during a percutaneous endoscopic gastrostomy replacement procedure performed on (b)(6) 2023.Post procedure, the patient removed the securi-t on (b)(6) 2023.While the physician was placing another securi-t the internal bolster detached outside the patient.The procedure was completed with a new endovive securi-t device.There were no patient complications reported as a result of this event.
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Event Description
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It was reported to boston scientific corporation that an endovive securi-t replacement bolster was used during a percutaneous endoscopic gastrostomy replacement procedure performed on (b)(6) 2023.Post procedure, the patient removed the securi-t on (b)(6) 2023.While the physician was placing another securi-t the internal bolster detached outside the patient.The procedure was completed with a new endovive securi-t device.There were no patient complications reported as a result of this event.
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Manufacturer Narrative
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Block h6 (device): device code a22 captures the reportable event of feeding tube patient removal.Block h10: the returned endovive securi-t replacement bolster was analyzed.Visual analysis of the device revealed that the internal bolster detached from the tube and an inner ring mark on the bolster presumes that it was attached.Therefore, the reported complaint is confirmed.Based on the condition of the returned device, engineers determined that the problem observed could be due to the manipulation or technique used and an excess of force could have contributed to the separation.Boston scientific has determined the most probable cause of this complaint is adverse event related to procedure.It is most likely that the adverse event occurred during the procedure and the device had no influence on event which led to the reported event.
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Search Alerts/Recalls
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