inforMED
MalfunctionODF

SPYGLASS DIRECT VISUALIZATION SYSTEM

Received May 17, 2013 · Event occurred Apr 25, 2013

Report 3005099803-2013-03981 · MDR key 3118234

Device

Generic name

Mini Endoscope, Gastroenterology-urology

Model number

M00546230

Catalog number

4623

Lot number

ML00001185

Product problems

  • Tear, Rip or Hole in Device Packaging

Patient

68 YR

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

ACCORDING TO THE COMPLAINANT, THE DEVICE WAS DISPOSED OF AND IS NOT AVAILABLE FOR EVALUATION. AT THIS TIME, WE ARE UNABLE TO DETERMINE THE RELATIONSHIP BETWEEN THE DEVICE AND THE CAUSE FOR THIS EVENT. IF THERE IS ANY FURTHER RELEVANT INFORMATION RECEIVED, A SUPPLEMENTAL MEDWATCH REPORT WILL BE FILED.

Description of Event or Problem

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A SPYSCOPE ACCESS AND DELIVERY CATHETER WAS USED DURING AN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) PROCEDURE ON (B)(6) 2013. ACCORDING TO THE COMPLAINANT, DURING PREPARATION FOR THE PROCEDURE A HOLE WAS NOTED IN THE SPYSCOPE'S INNER PACKAGING RENDERING IT UNSTERILE. THE PROCEDURE WAS COMPLETED WITH ANOTHER SPYSCOPE WITH NO PATIENT COMPLICATIONS. THE PATIENT'S CONDITION HAS BEEN DESCRIBES AS FINE.