FDA Adverse Event Malfunction Summary report: N

NEPHROMAX

MDR report key: 12915606 · Received December 2, 2021

Report

Report Number
3005099803-2021-06191
Event Type
Malfunction
Date Received
December 2, 2021
Date of Event
November 9, 2021
Report Date
January 11, 2022
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
LJE
UDI-DI
08714729012641
PMA / PMN Number
K121614
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). THE DEVICE HAS NOT BEEN RECEIVED FOR ANALYSIS. SHOULD THE DEVICE BECOME AVAILABLE FOR ANALYSIS AND THERE IS ANY FURTHER RELEVANT INFORMATION, A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Additional Manufacturer Narrative · 0

BLOCK H6: MEDICAL DEVICE CODE A0414 CAPTURES THE REPORTABLE EVENT OF BALLOON TORN. BLOCK H10: INVESTIGATION RESULT A VISUAL EXAMINATION OF THE RETURNED DEVICE FOUND THAT THE BALLOON WAS TORN LONGITUDINALLY FROM DISTAL OF THE DISTAL MARKER BAND EXTENDING ACROSS THE PROXIMAL FROM THE DISTAL MARKER BAND, THEREBY CONFIRMING THE REPORTED EVENT. A VISUAL AND TACTILE EXAMINATIONS REVEALED THAT THERE WAS NO PROBLEM FOUND TO THE TIP AND THE SHAFT OF THE DEVICE. ADDITIONALLY, NO PROBLEM WAS OBSERVED ON THE MARKERBANDS. THIS FAILURE IS LIKELY DUE TO FACTORS ENCOUNTERED DURING THE PROCEDURE, SUCH AS DIFFICULT PATIENT ANATOMY AND INTERACTION WITH THE DEVICE AND A STONE WHEN THE DEVICE WAS BEING POSITIONED, CAUSING WEAKNESS IN THE BALLOON MATERIAL, LEADING TO THE BALLOON BURSTING AND LONGITUDINAL TEAR IN THE BALLOON MATERIAL. THEREFORE, THE MOST PROBABLE ROOT CAUSE IS ADVERSE EVENT RELATED TO PATIENT CONDITION. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) WAS PERFORMED AND CONFIRMED THAT THIS DEVICE MET ALL MATERIAL, ASSEMBLY AND PERFORMANCE SPECIFICATIONS. A LABELING REVIEW WAS PERFORMED AND FROM THE INFORMATION AVAILABLE, THIS DEVICE WAS USED PER THE INSTRUCTIONS FOR USE (IFU)/PRODUCT LABEL.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A NEPHROMAX NEPHROSTOMY BALLOON CATHETER WAS USED IN THE KIDNEY DURING A PERCUTANEOUS NEPHROLITHOTRIPSY (PNL) PROCEDURE PERFORMED ON (B)(6) 2021. DURING THE PROCEDURE, IT WAS NOTICED THAT THE BALLOON WAS TORN AND WOULD NOT INFLATE. THE PROCEDURE WAS COMPLETED WITH ANOTHER NEPHROMAX NEPHROSTOMY BALLOON CATHETER DEVICE. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. NOTE: THE PHOTOS SUBMITTED BY THE CUSTOMER CONFIRMED THE TORN ON THE DISTAL SECTION OF THE BALLOON MATERIAL.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A NEPHROMAX NEPHROSTOMY BALLOON CATHETER WAS USED IN THE KIDNEY DURING A PERCUTANEOUS NEPHROLITHOTRIPSY (PNL) PROCEDURE PERFORMED ON (B)(6) 2021. DURING THE PROCEDURE, IT WAS NOTICED THAT THE BALLOON WAS TORN AND WOULD NOT INFLATE. THE PROCEDURE WAS COMPLETED WITH ANOTHER NEPHROMAX NEPHROSTOMY BALLOON CATHETER DEVICE. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. NOTE: THE PHOTOS SUBMITTED BY THE CUSTOMER CONFIRMED THE TORN ON THE DISTAL SECTION OF THE BALLOON MATERIAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1815239 NEPHROMAX CATHETER, NEPHROSTOMY LJE BOSTON SCIENTIFIC CORPORATION M0062101170 0026784500 08714729012641

Patients

Seq Age Sex Outcome Treatment
1 Unknown