inforMED
InjuryFDX

RX CYTOLOGY BRUSH

Received Nov 14, 2019 · Event occurred Oct 28, 2019

Report 3005099803-2019-05520 · MDR key 9320950

Device

Generic name

Endoscopic Cytology Brush

Model number

M00545000

Catalog number

4500

Lot number

0024051873

Product problems

  • Material Separation
  • Material Separation

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

PATIENT'S EXACT AGE IS UNKNOWN; HOWEVER IT WAS REPORTED THAT THE PATIENT WAS OVER THE AGE OF 18. (B)(4). ACCORDING TO THE COMPLAINANT, THE SUSPECT DEVICE HAS BEEN DISPOSED AND IS NOT AVAILABLE FOR RETURN. IF ANY FURTHER RELEVANT INFORMATION IS RECEIVED, A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Description of Event or Problem

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT AN RX CYTOLOGY BRUSH WAS USED IN THE BILE DUCT DURING AN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) PROCEDURE PERFORMED ON (B)(6) 2019. ACCORDING TO THE COMPLAINANT, DURING THE PROCEDURE WHILE BRUSHING THE BILE DUCT, BRISTLES OF THE BRUSH DETACHED AND FELL INSIDE THE PATIENT. REPORTEDLY, THE PATIENT'S ANATOMY WAS NOT TORTUROUS AND THE SCOPE NOT PLACED IN A TORTUROUS PATH. THE DOCTOR ATTEMPTED TO REMOVE THE DETACHED BRISTLES FROM INSIDE THE PATIENT USING ASPIRATION AND SNARING. THE PROCEDURE WAS COMPLETED WITH ANOTHER RX CYTOLOGY BRUSH. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. THE PATIENT CONDITION FOLLOWING THE PROCEDURE WAS REPORTED TO BE STABLE.