inforMED
InjuryPLL

ORISE GEL

Received Jan 20, 2023 · Event occurred Dec 1, 2022

Report 3005099803-2023-00145 · MDR key 16215255

Device

Generic name

Submucosal Injection Agent

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

Unknown

  • Granuloma
  • Granuloma

Narrative

Description of Event or Problem

BOSTON SCIENTIFIC CORPORATION BECAME AWARE THAT ORISE GEL WAS USED AS A LIFTING AGENT ON AN UNKNOWN DATE VIA A SOCIAL MEDIA TWITTER POST. ACCORDING TO THE LIMITED INFORMATION AVAILABLE FROM THE POST, A PATIENT UNDERWENT A RESECTION FOLLOWING A POLYPECTOMY. THE SPECIMEN SHOWED "AMORPHOUS PINK STUFF ASSOCIATED WITH A WHOPPING FOREIGN BODY-TYPE GIANT CELL REACTION." IT IS NOT KNOWN IF THE RESECTION WAS DUE TO ORISE GEL. ATTEMPTS TO OBTAIN ADDITIONAL INFORMATION REGARDING THE CIRCUMSTANCES SURROUNDING THIS EVENT HAVE BEEN UNSUCCESSFUL TO DATE. SHOULD ADDITIONAL RELEVANT DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative

THE EXACT DATE OF THE EVENT IS UNKNOWN. THE PROVIDED EVENT DATE WAS CHOSEN AS A BEST ESTIMATE BASED ON THE DATE THAT THE MANUFACTURER BECAME AWARE OF THE EVENT. THE COMPLAINANT WAS UNABLE TO PROVIDE THE SUSPECT DEVICE UPN AND LOT NUMBER; THEREFORE, THE LOT EXPIRATION AND DEVICE MANUFACTURE DATES ARE UNKNOWN. (B)(4).

Remedial action

  • Recall