inforMED
MalfunctionPCU

AXIOS STENT AND ELECTROCAUTERY ENHANCED DELIVERY SYSTEM

Received Jun 1, 2026 · Event occurred May 1, 2026

Report 3005099803-2026-02240 · MDR key 25350644

Device

Generic name

Pancreatic Stent, Covered, Metallic, Removable

Model number

M00553550

Catalog number

M00553550

Lot number

0038554959

Product problems

  • Detachment of Device or Device Component

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK H6: IMDRF DEVICE CODE A0501 CAPTURES THE REPORTABLE EVENT OF CONNECTOR DETACHED.

Description of Event or Problem

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT AN AXIOS STENT AND ELECTROCAUTERY ENHANCED DELIVERY SYSTEM WAS TO BE IMPLANTED IN THE PANCREAS TO TREAT A FLUID MASS DURING A PANCREATIC CYST DRAINAGE PROCEDURE PERFORMED ON AN UNKNOWN DATE. DURING THE PROCEDURE, UPON REMOVAL OF THE DIATHERMY LEAD, THE COPPER WIRE AND PIN DETACHED. ANOTHER OF THE SAME DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WERE NO PATIENT COMPLICATIONS REPORTED DUE TO THIS EVENT AND THE PATIENT CONDITION FOLLOWING THE PROCEDURE WAS REPORTED TO BE FULLY RECOVERED.