| 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 Key | 25112256 |
| Report Number | 3005099803-2026-01669 |
| Device Sequence Number | 9321886 |
| Product Code |
FBN
|
| UDI-Device Identifier | 08714729994183 |
| UDI-Public | (01)08714729994183(17)280109(10)40421555 |
| Combination Product (Y/N) | N |
| Initial Reporter State | GA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K200483 |
| Number of Events Summarized | 1 |
| 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,Followup |
| Report Date (Section B) |
07/09/2026 |
| 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 Number | M00546780 |
| Device Catalogue Number | M00546780 |
| Device Lot Number | 0040421555 |
| 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 | 04/09/2026 |
| Supplement Date Received by Manufacturer | 05/04/2026 06/12/2026
|
| Initial Report FDA Received Date | 05/07/2026 |
| Supplement Report FDA Received Date | 06/02/2026 07/09/2026
|
| Date Device Manufactured | 01/09/2026 |
| 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 Number | 1 |
| Patient Sex | Unknown |