inforMED
MalfunctionFDX

DISPOSABLE GASTROINTESTINAL CYTOLOGY BRUSH

Received Nov 21, 2019 · Event occurred Sep 21, 2019

Report 9353860 · MDR key 9353860

Device

Generic name

Endoscopic Cytology Brush

Manufacturer

Conmed Corporation

Model number

158R

Catalog number

158R

Lot number

201805314

Product problems

  • Break
  • Difficult to Advance

Patient

21535 DA

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

DURING UPPER ENDOSCOPY, RN ATTEMPTED TO BRUSH PATIENT'S ESOPHAGUS LINING WITH CYTOLOGY BRUSH. AS THE RN TRIED TO PUSH THE BRUSH OUT, IT WAS DIFFICULT TO PUSH AND THE BLUE PIECE WITH THE FLANGES THAT SHOULD BE CONNECTED TO THE PLASTIC SHEATH BROKE AND THE BRUSH WOULD NOT ADVANCE OUT OF THE SHEATH. PROVIDER DECIDED TO OBTAIN BIOPSY RATHER THAN OBTAIN SPECIMEN WITH CYTOLOGY BRUSH. MANUFACTURER RESPONSE FOR GASTROINTESTINAL CYTOLOGY BRUSH, DISPOSABLE GASTROINTESTINAL CYTOLOGY BRUSH (PER SITE REPORTER). EQUIPMENT FAILURE REPORTED TO CONMED REPRESENTATIVE ON 10/18/19. PRODUCT WILL BE RETURNED 10/28/19 VIA (B)(6) GROUND TRACKING NUMBER (B)(6).