CAPTIVATOR COLD SINGLE-USE SNARE
Received Jun 16, 2026 · Event occurred May 28, 2026
Report 3005099803-2026-02488 · MDR key 25524948
Device
Generic name
Snare, Non-electrical
Manufacturer
Boston Scientific CorporationModel number
M00561103Catalog number
M00561103
Lot number
0038686515
Product problems
- Entrapment of Device
- Detachment of Device or Device Component
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
BLOCK H6: IMDRF DEVICE CODE A0501 CAPTURES THE REPORTABLE EVENT OF DETACHMENT OF DEVICE OR DEVICE COMPONENT. BLOCK H6: IMDRF DEVICE CODE A150208 CAPTURES THE REPORTABLE EVENT OF ENTRAPMENT OF DEVICE.
Description of Event or Problem
IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A CAPTIVATOR COLD SNARE WAS USED IN THE COLON DURING A COLONOSCOPY PROCEDURE PERFORMED ON (B)(6) 2026. DURING THE PROCEDURE, THE PHYSICIAN SUCCESSFULLY COLD CUT THE POLYP, BUT AFTER CLOSING IT, THE LOOP DETACHED COMPLETELY FROM THE DEVICE AND FELL OUT INTO THE COLON. THE PIECE BECAME EMBEDDED IN PATIENTS TISSUE AND HAD TO BE RETRIEVED USING A RESCUE NET SNARE. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.
Remedial action
- Replace