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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION SPYGLASS? DISCOVER; CHOLEDOCHOSCOPE AND ACCESSORIES, FLEXIBLE/RIGID

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BOSTON SCIENTIFIC CORPORATION SPYGLASS? DISCOVER; CHOLEDOCHOSCOPE AND ACCESSORIES, FLEXIBLE/RIGID Back to Search Results
Model Number M00546780
Medical Device Problem Codes Material Integrity Problem (2978); Optical Problem (3001)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/07/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Block h6: imdrf impact code f1001 captures the reportable event of aborted/cancelled procedure- post sedation.
 
Event or Problem Description
Note: this report pertains to one of the two devices used in the same procedure.It was reported to boston scientific corporation that two spyglass discover digital catheters were used for the treatment of choledocholithiasis in the common bile duct during a cholecystectomy and laparoscopic common bile duct exploration (lcbde) procedure performed on (b)(6) 2026.During the procedure, the spyglass light source was connected to a stryker secondary monitor.When the physician attempted to begin scoping, no visualization was observed on the monitor.Multiple dvi cables and monitors were exchanged without restoring image display.A second spyglass discover catheter was opened; however, visualization remained absent.Both spyglass discover catheters exhibited a yellow glow at the connector interface when plugged into the light source.Due to the inability to obtain visualization, the clinical team was unable to complete the cbd exploration.The patient was subsequently referred for a post-operative ercp.No patient complications were reported, and the patient is expected to fully recover.
 
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Brand Name
SPYGLASS? DISCOVER
Common Device Name
CHOLEDOCHOSCOPE AND ACCESSORIES, FLEXIBLE/RIGID
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
cashel road
clonmel
EI  
Manufacturer Contact
christina lam
300 boston scientific way
marlborough, MA 01752
9145716918
MDR Report Key24793854
Report Number3005099803-2026-01230
Device Sequence Number18594382
Product Code FBN
UDI-Device Identifier08714729994183
UDI-Public(01)08714729994183(17)271023(10)40395539
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
PMA/510(K) Number
K200483
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 05/05/2026
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 NumberM00546780
Device Catalogue NumberM00546780
Device Lot Number0040395539
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/09/2026
Supplement Date Received by Manufacturer04/16/2026
Initial Report FDA Received Date04/06/2026
Supplement Report FDA Received Date05/05/2026
Date Device Manufactured10/23/2025
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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