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Model Number M00517400 |
Device Problems
Adverse Event Without Identified Device or Use Problem (2993); Migration (4003)
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Patient Problems
Fistula (1862); Discomfort (2330)
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Event Date 03/08/2021 |
Event Type
Injury
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Manufacturer Narrative
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The complainant was unable to provide the suspect device lot number; therefore, the lot expiration and device manufacture dates are unknown.However, the complainant reported that the device was not expired.(b)(4).The complainant indicated that the device was disposed and will not be returned for evaluation; therefore, a failure analysis of the complaint device could not be completed.If any further relevant information is identified, a supplemental medwatch will be filed.
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Event Description
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It was reported to boston scientific corporation on (b)(6) 2021 that an agile esophageal fully covered stent was implanted to treat a less than 6cm malignant stricture in the esophagus during an esophagogastroduodenoscopy (egd) with stent placement procedure performed on (b)(6) 2020.Post-stent placement the patient underwent radiation.Reportedly, the patient's anatomy was tortuous and was not dilated prior to stent placement.On (b)(6) 2021, during emergent follow-up, the patient presented with tracheoesophageal fistula (tef) and discomfort.The tef started at the distal end of the stent.Consequently, the stent was removed from the patient using rat-tooth forceps and a non-bsc device was implanted over the tef to complete the procedure.In the physician's assessment the discomfort and the tef were related to the distal end of the stent and the radiation treatment.
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Manufacturer Narrative
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Block d4, h4: the complainant was unable to provide the suspect device lot number; therefore, the lot expiration and device manufacture dates are unknown.However, the complainant reported that the device was not expired.Block h6: patient code e2314 captures the reportable patient issue of a tracheoesophageal fistula.Patient code e2311 captures the reportable patient issue of discomfort.Impact code f2301 captures the additional intervention of stent removal during emergent follow-up and placement of a different device.Imdrf device code a010402 captures the reportable event of stent migration.
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Event Description
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It was reported to boston scientific corporation on march 15, 2021 that an agile esophageal fully covered stent was implanted to treat a less than 6cm malignant stricture in the esophagus during an esophagogastroduodenoscopy (egd) with stent placement procedure performed on (b)(6) 2020.Post-stent placement the patient underwent radiation.Reportedly, the patient's anatomy was tortuous and was not dilated prior to stent placement.On march 08, 2021, during emergent follow-up, the patient presented with tracheoesophageal fistula (tef) and discomfort.The tef started at the distal end of the stent.Consequently, the stent was removed from the patient using rat-tooth forceps and a non-bsc device was implanted over the tef to complete the procedure.In the physician's assessment the discomfort and the tef were related to the distal end of the stent and the radiation treatment.It was reported that an image showed that the agile esophageal stent migrated in the airway.
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Search Alerts/Recalls
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