Model Number M00562371 |
Device Problem
Detachment Of Device Component (1104)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 11/21/2017 |
Event Type
Injury
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Manufacturer Narrative
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(b)(4).Although the suspect device has been received, the evaluation has not been completed.Therefore, the cause of the reported malfunction has not been determined.Upon completion of the failure analysis of the complaint device, if there is any further relevant information from that review, a supplemental mdr will be filed.
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Event Description
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It was reported to boston scientific corporation that a captivator medium crescent snare was used in the duodenum during a plastic stent removal and endoscopic retrograde cholangiopancreatography (ercp) procedure performed on (b)(6) 2017.According to the complainant, during the procedure, the snare loop detached inside the patient when attempting to remove a stent.The detached portion was retrieved successfully with forceps and the procedure was completed with another captivator snare.There were no patient complications reported as a result of this event.The patient's condition at the conclusion of the procedure was reported to be stable.
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Manufacturer Narrative
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Visual evaluation of the returned device revealed that the loop was detached and the loop cannula showed that the device was correctly manufactured.The device was also inspected under x-ray magnification and it was noted that there were no residues of the wire which indicates that the wire was not broken.Functional analysis was not performed due to the condition of the returned device.The reported complaint that the loop was detached was confirmed, however, the device was used in a procedure which is not in accordance with the dfu, therefore, the most probable root cause classification is user error.A review of the device history record (dhr) was performed and no deviations were found.A search of the complaint database revealed that no other complaints exist for the specified lot.A labeling review was performed and no anomalies were found.
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Event Description
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It was reported to boston scientific corporation that a captivator medium crescent snare was used in the duodenum during a plastic stent removal and endoscopic retrograde cholangiopancreatography (ercp) procedure performed on (b)(6) 2017.According to the complainant, during the procedure, the snare loop detached inside the patient when attempting to remove a stent.The detached portion was retrieved successfully with forceps and the procedure was completed with another captivator snare.There were no patient complications reported as a result of this event.The patient's condition at the conclusion of the procedure was reported to be stable.
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Search Alerts/Recalls
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