BOSTON SCIENTIFIC CORPORATION INTRODUCER NEEDLES; CATHETER, NEPHROSTOMY, GENERAL & PLASTIC SURGERY
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Model Number M0067001210 |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problems
Liver Damage/Dysfunction (1954); Pneumonia (2011); Renal Failure (2041)
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Event Date 03/01/2019 |
Event Type
Injury
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Event Description
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Note: this report pertains to one of four devices used in the same patient and procedure.It was reported to boston scientific corporation that an imager ii, nephromax balloon, percutaneous access needle and 8/10 dilator sheath set were used during a percutaneous nephrolithotomy procedure performed in (b)(6) 2019.The patient experienced aspiration pneumonia, acute kidney injury (aki) and liver injury.It was reported that the patient had prolonged hospitalization.
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Manufacturer Narrative
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Date of event: the exact date is unknown; however, it was reported that the event occurred in (b)(6) 2019.The complainant was unable to report the device suspected lot number; therefore, the manufacture date and expiration date are unknown.Imdrf patient codes e130501, e0733 and e1104 capture the reportable event of renal failure, pneumonia and liver damage/dysfunction.Imdrf impact code f08 captures the reportable event of hospitalization or prolonged hospitalization.
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Search Alerts/Recalls
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