inforMED
MalfunctionFDX

RX CYTOLOGY BRUSH

Received Mar 22, 2024 · Event occurred Feb 27, 2024

Report 3005099803-2024-01079 · MDR key 18957076

Device

Generic name

Endoscopic Cytology Brush

Model number

M00545000

Catalog number

4500

Lot number

0029249424

Product problems

  • Detachment of Device or Device Component
  • Detachment of Device or Device Component

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

H6: IMDRF DEVICE CODE A0501 CAPTURES THE REPORTABLE EVENT OF BRUSH DETACHMENT.

Description of Event or Problem

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT AN RX CYTOLOGY BRUSH WAS TO BE USED IN THE COMMON BILE DUCT DURING AN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PROCEDURE PERFORMED ON (B)(6) 2024. PRIOR TO THE PROCEDURE, IT WAS REPORTED THAT THE BRISTLES OF THE BRUSH WERE BROKEN/MISSING. THE PROCEDURE WAS COMPLETED USING ANOTHER RX CYTOLOGY BRUSH. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.