inforMED
MalfunctionODF

SPYGLASS DIRECT VISUALIZATION SYSTEM

Received Mar 28, 2012

Report 3005099803-2012-01141 · MDR key 2506920

Device

Generic name

Mini Endoscope, Gastroenterology-urology

Model number

M00546230

Catalog number

4623

Product problems

  • Detachment Of Device Component

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A SPYSCOPE ACCESS & DELIVERY CATHETER WAS USED DURING AN ERCP (ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY) PROCEDURE. ACCORDING TO THE COMPLAINANT, DURING THE PROCEDURE A SMALL PIECE OF TUBULAR PLASTIC OR RUBBER WAS NOTED TO HAVE DETACHED INTO THE PATIENT. THE PHYSICIAN SUSPECTS THAT THE FRAGMENT MAY HAVE ORIGINATED FROM THE SPYSCOPE. 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 COMPLAINANT WAS UNABLE TO PROVIDE THE SUSPECT DEVICE LOT NUMBER; THEREFORE, THE LOT EXPIRATION AND DEVICE MANUFACTURE DATES ARE UNKNOWN. (B)(4) FOR THE REPORTED EVENT OF DEVICE DETACHMENT. THE COMPLAINANT INDICATED THAT THE DEVICE WILL NOT BE RETURNED FOR EVALUATION; THEREFORE A FAILURE ANALYSIS OF THE COMPLAINT DEVICE COULD NOT BE COMPLETED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED, A SUPPLEMENTAL MEDWATCH WILL BE FILED. (B)(4).