BOSTON SCIENTIFIC - MARLBOROUGH UPHOLD¿ LITE; MESH, SURGICAL, SYNTHETIC, UROGYNECOLOGIC, FOR PELVIC ORGAN PROLAPSE, TRANSVAGIN
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Model Number M0068318170 |
Device Problem
Detachment Of Device Component (1104)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 03/20/2018 |
Event Type
Injury
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Manufacturer Narrative
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A visual examination of the returned device revealed that part of the carrier on the capio slim suture capturing device was broken off and was not returned.The condition of the returned device would prevent the needle from penetrating tissue thereby confirming the event.Analysis also revealed no damage to the pfr mesh assembly.A review of the device history record (dhr) confirmed that the device met all material, assembly, and product specifications at the time of release to distribution.The investigation concluded that this complaint is associated with a product that meets the design and manufacture specifications but due to anatomical/procedural factors encountered during the procedure, performance of the device was limited.The most probable root cause classification is operational context.A labeling review was performed and, from the information available, this device was used per the directions for use (dfu) / product label.(b)(6) for the problem of carrier detachment.
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Event Description
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It was reported to boston scientific corporation that an uphold lite with capio slim was used during a sacrospinous ligament fixation procedure on (b)(6) 2018.According to the complainant, during the procedure, the dart was unable to penetrate through the patient¿s tissue, and the physician reportedly tried several times.The procedure was completed with another uphold lite with capio slim device.The patient's condition at the conclusion of the procedure was reported to be stable this event has been deemed reportable based on the investigation results: a part of the carrier on the capio slim suture capturing device was broken off and was not returned.Please see block for full investigation details.
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