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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION EXTRACTOR PRO RX; CATHETER, BILIARY, DIAGNOSTIC

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BOSTON SCIENTIFIC CORPORATION EXTRACTOR PRO RX; CATHETER, BILIARY, DIAGNOSTIC Back to Search Results
Model Number M00547010
Medical Device Problem Code Device Contaminated During Manufacture or Shipping (2969)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/17/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported to boston scientific corporation that an extractor pro rx was prepared to be used in the common bile duct during an endoscopic retrograde cholangiopancreatography (ercp) procedure performed on (b)(6) 2026.During the preparation, the customer reported seeing a small dark hair inside the transparent packaging, appearing as a foreign body within the sterile device package.The procedure was completed with another of the same device.There were no patient complications reported as a result of this event.
 
Additional Manufacturer Narrative
Block h6: imdrf device code a1802 captures the reportable event of foreign matter inside device sterile packaging.
 
Event or Problem Description
It was reported to boston scientific corporation that an extractor pro rx was prepared to be used in the common bile duct during an endoscopic retrograde cholangiopancreatography (ercp) procedure performed on (b)(6) 2026.During the preparation, the customer reported seeing a small dark hair inside the transparent packaging, appearing as a foreign body within the sterile device package.The procedure was completed with another of the same device.There were no patient complications reported as a result of this event.
 
Additional Manufacturer Narrative
Block h6: imdrf device code a1802 captures the reportable event of foreign matter inside device sterile packaging.Block h11: investigation results.The device was not returned for analysis despite good faith efforts; therefore, a technical analysis could not be performed.With all the available information, boston scientific concludes that the reported event of foreign matter inside device sterile packaging could not be confirmed.The device was not returned for analysis despite good faith efforts.Without analysis of the actual device, there is a lack of objective evidence, or descriptive conditions of the event required to determine a probable root cause of the event.A review of the device history record (dhr) was performed.The review of the dhr identified that there were no process related non-conformances, scrap, or rework performed during the production that could explain the event.The reviews ensure each device meets specification prior to release for use.There is no indication the device manufacturing process contributed to the reported complaint.Based on a thorough review of the reported complaint, boston scientific has assigned an investigation conclusion code of cause not established.
 
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Brand Name
EXTRACTOR PRO RX
Common Device Name
CATHETER, BILIARY, DIAGNOSTIC
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORK LIMITED
cork business technology park
model farm road
cork T12 Y K88
EI   T12 YK88
Manufacturer Contact
christina lam
300 boston scientific way
marlborough, MA 01752
9145716918
MDR Report Key24576000
Report Number3005099803-2026-00913
Device Sequence Number18730967
Product Code FGE
UDI-Device Identifier08714729790297
UDI-Public(01)08714729790297(17)270509(10)36480937
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K102082
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup,Followup
Report Date (Section B) 06/03/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberM00547010
Device Catalogue NumberM00547010
Device Lot Number0036480937
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/18/2026
Supplement Date Received by Manufacturer03/19/2026
05/07/2026
Initial Report FDA Received Date03/11/2026
Supplement Report FDA Received Date04/08/2026
06/03/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/09/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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