inforMED
MalfunctionJOS

STONETOME STONE REMOVAL DEVICE

Received Mar 25, 2009

Report 3005099803-2009-01354 · MDR key 1414735

Device

Model number

M00535150

Catalog number

3515

Lot number

12190643

Product problems

  • Electrical /Electronic Property Problem

Patient

NA

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

NOTE: THE DATE OF EVENT IS UNK. IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION IN 2009, THAT A STONETOME STONE REMOVAL DEVICE WAS USED DURING A PROCEDURE. ACCORDING TO THE COMPLAINANT, DURING THE PROCEDURE, THE DEVICE COULD NOT BE TURNED ON. THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITH A SECOND STONETOME STONE REMOVAL DEVICE. THERE WERE NO PT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. THE PT'S CONDITION AT THE CONCLUSION OF THE PROCEDURE WAS REPORTED TO BE "GOOD."

Additional Manufacturer Narrative

THE COMPLAINANT INDICATED THAT THE DEVICE WAS DISPOSED AND WILL NOT BE RETURNED FOR EVAL; THEREFORE, A FAILURE ANALYSIS OF THE COMPLAINT DEVICE COULD NOT BE COMPLETED. IF ANY FURTHER RELEVANT INFO IS IDENTIFIED, A SUPPLEMENTAL MEDWATCH WILL BE FILED.