It was reported to boston scientific corporation that an ultratome xl was used in the ampulla and bile duct during an endoscopic retrograde cholangiopancreatography (ercp) procedure performed on (b)(6) 2023.During the procedure, the physician positioned the ultratome xl in the ampulla to perform sphincterotomy.He energized the wire; however, he noticed that the wire would not cut despite energizing the wire multiple times.The device was removed from the duodenoscope with difficulty, so he had to pull it hard.It was noticed that the cutting wire was broken.The elevator channel of the duodenoscope did not close anymore despite multiple efforts to close it and the duodenoscope had to be carefully extracted from the patient with the elevator channel in an open state.It was reported that no part of the cutting wire detached and fell into the patient.The procedure was not completed due to this event.There were no patient complications reported as a result of this event.The patient had to undergo a bile duct surgery, which was not related to this procedure.During that surgery, the stones present in the bile duct were removed.
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