|
Model Number M00510890 |
Device Problems
Material Too Rigid or Stiff (1544); Deformation Due to Compressive Stress (2889); Difficult to Open or Close (2921); Material Deformation (2976); Adverse Event Without Identified Device or Use Problem (2993)
|
Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
|
Event Date 10/16/2023 |
Event Type
malfunction
|
Manufacturer Narrative
|
Block h6: imdrf device code a0406 captures the investigation result of side car rx pushed back.Block h10: investigation results: one trapezoid rx lithotripter basket was received for analysis, and a visual inspection observed the sheath was buckled and the side car rx was pushed back.A dimensional test was also performed and confirmed the side car rx was pushed back approximately 3.5 mm, which is out of specification.Additionally, a function test noted the basket opened with some difficulty, as pressure was felt from the buckled sheath.No other issues were noted.The reported event of "basket failure to open" was not confirmed.The buckled sheath and side car rx push back made the basket difficult to open, however it did open.Based on all available information, the side car rx push back and buckled sheath could have occurred due to excessive manipulation when attempting to open the basket.It is possible that the technique used, or the patient's anatomical conditions could have contributed to the event.Therefore, the most probable root cause for the reported failures is adverse event related to procedure.
|
|
Event Description
|
It was reported to boston scientific corporation that a 3cm trapezoid rx lithotripter basket was used during a lithotripsy procedure performed on october 16, 2023.During the procedure, the basket could not be deployed properly.The procedure was completed with a different device.There were no patient complications reported as a result of this event.Note: this event has been deemed an mdr-reportable event based on investigation results which revealed that the side car rx was pushed back.Please see block h10 for full investigation details.
|
|
Event Description
|
It was reported to boston scientific corporation that a 3cm trapezoid rx lithotripter basket was used during a lithotripsy procedure performed on (b)(6) 2023.During the procedure, the basket could not be deployed properly.The procedure was completed with a different device.There were no patient complications reported as a result of this event.Note: this event has been deemed an mdr-reportable event based on investigation results which revealed that the side car rx was pushed back.Please see block h10 for full investigation details.
|
|
Manufacturer Narrative
|
Block h2: correction: h6 evaluation result code c0705 was added because the investigation noted the basket was able to open but with difficulty.Block h6: imdrf device code a0406 captures the investigation result of side car rx pushed back.Block h10: investigation results: one trapezoid rx lithotripter basket was received for analysis, and a visual inspection observed the sheath was buckled and the side car rx was pushed back.A dimensional test was also performed and confirmed the side car rx was pushed back approximately 3.5 mm, which is out of specification.Additionally, a function test noted the basket opened with some difficulty, as pressure was felt from the buckled sheath.No other issues were noted.The reported event of "basket failure to open" was not confirmed.The buckled sheath and side car rx push back made the basket difficult to open, however it did open.Based on all available information, the side car rx push back and buckled sheath could have occurred due to excessive manipulation when attempting to open the basket.It is possible that the technique used, or the patient's anatomical conditions could have contributed to the event.Therefore, the most probable root cause for the reported failures is adverse event related to procedure.
|
|
Search Alerts/Recalls
|
|
|