SPYGLASS RETRIEVAL BASKET
Received Jun 26, 2023 · Event occurred May 28, 2023
Report 3005099803-2023-03293 · MDR key 17197381
Device
Generic name
Endoscopic Grasping/cutting Instrument, Non-powered
Manufacturer
Boston Scientific CorporationModel number
M00546550Catalog number
4655
Product problems
- Break
- Break
Patient
Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A SPYBASKET WAS USED IN THE COMMON BILE DUCT DURING A LAPAROSCOPIC CHOLECYSTECTOMY WITH COMMON BILE DUCT EXPLORATION PROCEDURE PERFORMED ON (B)(6) 2023. DURING A PROCEDURE, A SPYGLASS RETRIEVAL BASKET WAS USED TO CAPTURE A LARGE STONE IN THE COMMON BILE DUCT. HOWEVER, WHEN THE BASKET WAS CLOSED, THE WIRE OF THE BASKET BROKE LEAVING THE STONE TRAPPED INSIDE. FURTHER INCISION ON THE PATIENT'S COMMON BILE DUCT WAS PERFORMED IN ORDER TO EXTRACT THE BROKEN BASKET AND STONE. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.
Additional Manufacturer Narrative
D3: THE COMPLAINANT WAS UNABLE TO PROVIDE THE SUSPECT DEVICE UPN AND LOT NUMBER; THEREFORE, THE EXPIRATION AND DEVICE MANUFACTURE DATES ARE UNKNOWN. BLOCK H6: IMDRF DEVICE CODE A0401 CAPTURES THE REPORTABLE EVENT OF BASKET WIRE BREAK. IMPACT CODE F23 CAPTURES THE REPORTABLE EVENT OF FURTHER INCISION ON THE PATIENT'S COMMON BILE DUCT WAS PERFORMED IN ORDER TO EXTRACT THE BROKEN BASKET AND STONE.