inforMED
MalfunctionODF

SPYGLASS DIRECT VISUALIZATION SYSTEM

Received Jun 16, 2014 · Event occurred May 29, 2014

Report 3005099803-2014-02236 · MDR key 3874584

Device

Generic name

Mini Endoscope, Gastroenterology-urology

Model number

M00546230

Catalog number

4623

Lot number

ML00001804

Product problems

  • Device Packaging Compromised

Patient

Not reported

  • No Patient Involvement

Narrative

Description of Event or Problem

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A SPYSCOPE ACCESS & DELIVERY CATHETER WAS TO BE USED IN THE COMMON BILE DUCT DURING AN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) PROCEDURE. ACCORDING TO THE COMPLAINANT, DURING PREPARATION, THE PACKAGING WAS NOTICED TO BE PARTIALLY OPENED. ADDITIONALLY, IT WAS THE INTERNAL PACKAGING SEAL THAT WAS FOUND TO BE INTACT BUT LOOSE. THE PROCEDURE WAS COMPLETED WITH ANOTHER WITH THE SAME DEVICE. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. THE PATIENT'S CONDITION AT THE CONCLUSION OF THE PROCEDURE WAS REPORTED TO BE FINE.

Additional Manufacturer Narrative

THE DEVICE HAS NOT BEEN RECEIVED FOR ANALYSIS. UPON RECEIPT AND COMPLETION OF THE FAILURE ANALYSIS OF THE COMPLAINT DEVICE, IF THERE IS ANY FURTHER RELEVANT INFORMATION FROM THAT REVIEW, A SUPPLEMENTAL MDR WILL BE FILED.