BOSTON SCIENTIFIC CORPORATION DREAMTOME RX 44; UNIT, ELECTROSURGICAL, ENDOSCOPIC (WITH OR WITHOUT ACCESSORIES)
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Model Number M00584040 |
Device Problems
Contamination (1120); Packaging Problem (3007)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 11/03/2021 |
Event Type
malfunction
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Manufacturer Narrative
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(b)(4).The device has not been received for analysis.Upon receipt and completion of the problem analysis of the complaint device, if there is any further relevant information from that review, a supplemental medwatch will be filed.
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Event Description
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It was reported to boston scientific corporation that a dreamtome rx 44 was intended to be used in the common bile duct (cbd) in an endoscopic retrograde cholangiopancreatography (ercp) procedure performed on (b)(6) 2021.During preparation outside the patient, when the device was unpacked, it was found that the packaging had water damage.Additionally, it was reported that there was not any other visible damage noted to the sterile pouch, seal, or the device itself.The procedure was completed with another of the same device.There were no patient complications reported as a result of this event.Note: photos of the complaint device outside the patient were provided by the customer and showed the device packaging had water damage which had infiltrated into the sterile pouch.
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Manufacturer Narrative
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Block h6 (device codes): medical device problem code a1801 captures the reportable event of contaminated device due to water damage.Block h10: the returned dreamtome rx 44 was analyzed, and a visual evaluation noted that the jagtome mounting card had evidence of water damage on its surface.The device was observed under magnification and it does not have evidence of being used.Per media analysis, it was possible to observe that the pouch of the device had evidence of water damage on its surface.No other problems with the device were noted.The reported event of packaging damaged/defective was confirmed while the reported event device not sterile cannot be confirmed.Upon analysis, the jagtome mounting card had evidence of water damage on its surface.The reported event of device not sterile cannot be confirmed based on the provided picture alone and the pouch was not returned.The analyzed problem (jagtome mounting card damaged due to water interaction) is an issue that could have been generated by inappropriate storage conditions.Based on all gathered information, the most probable root cause of this complaint is cause traced to transport.A review of the manufacturing documentation for this device revealed that no anomalies or deviations related to the event occurred during manufacturing.A search of the complaint database confirmed that this is the only complaint that exists for the specified lot.
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Event Description
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It was reported to boston scientific corporation that a dreamtome rx 44 was intended to be used in the common bile duct (cbd) in an endoscopic retrograde cholangiopancreatography (ercp) procedure performed on (b)(6), 2021.During preparation outside the patient, when the device was unpacked, it was found that the packaging had water damage.Additionally, it was reported that there was not any other visible damage noted to the sterile pouch, seal, or the device itself.The procedure was completed with another of the same device.There were no patient complications reported as a result of this event.Note: photos of the complaint device outside the patient were provided by the customer and showed the device packaging had water damage which had infiltrated into the sterile pouch.
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Search Alerts/Recalls
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