inforMED
MalfunctionLNK

BOSTON SCIENTIFIC

Received Jun 10, 2010 · Event occurred May 26, 2010

Report MW5016335 · MDR key 1724935

Device

Generic name

Duotome Laser Fiber

Manufacturer

Boston Scientific

Catalog number

840-846

Lot number

99591009

Product problems

  • Defective Component
  • Device Contamination with Chemical or Other Material

Patient

88 YR

  • No Information

Narrative

Description of Event or Problem

PT COMPLAINED OF PROSTATITIS & URINARY RETENTION. PT HAVING A LASER TUR DONE USING LASER FIBERS THROUGH A LASER CYSTOSCOPE. USING 80 WATTS THE BLADDER NECK AND MEDIAN BAR WAS LASED. USING 100 WATTS THE LATERAL LOBES WERE THEN LASED. THE FIRST TWO FIBERS WERE DEFECTIVE AND APPROPRIATE THERAPY WAS NOT COMPLETED UNTIL THE THIRD FIBER WAS USED (FROM A DIFFERENT LOT). BLACK SEDIMENT AND SPOTS OF BLACK METALLIC NOTED WITH THE DEFECTIVE FIBERS. THE HOLMIUM LASER WAS BEING USED.