CONSOLIDATED MEDICAL EQUIPMENT COMPANY DISPOSABLE MARKED SPRING TIP GUIDEWIRE; ENDOSCOPIC GUIDEWIRE, GASTROENTEROLOGY-UROLOGY
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Model Number DIS150 |
Device Problem
Material Fragmentation (1261)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 11/17/2022 |
Event Type
malfunction
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Event Description
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The sales representative reported on behalf of the customer that the dis150, disposable marked spring tip guidewire, was used during an esophagogastroduodenoscopy procedure on (b)(6) 2022 when it was reported, ¿during an esophageal otw dilation, dis150 guidewire broke off near the start of the spring tip.It was successfully removed with rat tooth forceps.¿ after a further assessment, it was reported,¿ a portion of the guidewire broke off and was in the esophagus¿.After removing the device with rat tooth forceps, the procedure was completed and had no patient or user impact.The patient did not require surgical intervention or an extended stay at the hospital.This report is being raised on the basis of malfunction with potential for injury upon reoccurrence.
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Manufacturer Narrative
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The reported device is being returned to conmed for evaluation.A supplemental and final report will be filed following the completion of the device evaluation and complaint investigation.This issue will continue to be monitored through the complaint system to assure patient safety.Conmed has not received the device.
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Manufacturer Narrative
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Reported event of the guidewire being broken is confirmed.Received two dis150 in original package.Lot number was verified.Performed a visual inspection, the guidewire was broken/dissembled from the product.A device history record review found no abnormalities that would contribute to this reported event.A two-year lot history review was conducted and found no similar events reported for this lot number.A two-year review of complaint history revealed there has been a total of 15 reports, regarding 24 devices, for this device family and failure mode.During this same time frame (b)(4) devices have been manufactured and shipped worldwide.Should all the complaint devices have been found confirmed for this reported failure, the rate of failure would be (b)(4).Per the instructions for use, the user is advised the following: the guidewire should not be advanced if resistance is met without determining the cause and taking remedial action.This issue will continue to be monitored through the complaint system to assure patient safety.
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Event Description
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The sales representative reported on behalf of the customer that the dis150, disposable marked spring tip guidewire, was used during an esophagogastroduodenoscopy procedure on (b)(6) 2022 when it was reported, ¿during an esophageal otw dilation, dis150 guidewire broke off near the start of the spring tip.It was successfully removed with rat tooth forceps.¿.After a further assessment, it was reported,¿ a portion of the guidewire broke off and was in the esophagus¿.After removing the device with rat tooth forceps, the procedure was completed and had no patient or user impact.The patient did not require surgical intervention or an extended stay at the hospital.This report is being raised on the basis of malfunction with potential for injury upon reoccurrence.
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Search Alerts/Recalls
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