BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EASY CORE BIOPSY DEVICE

    MDR report key: 1525173 · Received November 9, 2009

    Report

    Report Number
    3005099803-2009-05278
    Event Type
    Injury
    Date Received
    November 9, 2009
    Report Date
    October 12, 2009
    Manufacturer
    BOSTON SCIENTIFIC CORPORATION
    Product Code
    FCG
    PMA / PMN Number
    K050120
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    THE COMPLAINANT WAS UNABLE TO PROVIDE THE SUSPECT DEVICE MODEL NUMBER OR LOT NUMBER; THEREFORE, THE DEVICE MANUFACTURE AND EXPIRATION DATES ARE UNKNOWN.

    Description of Event or Problem · 1

    IN 2009, A BOSTON SCIENTIFIC CORPORATION EMPLOYEE BECAME AWARE OF AN ARTICLE, "ACCURACY OF PERCUTANEOUS CORE BIOPSY IN MANAGEMENT OF SMALL RENAL MASSES" BY ROU WANG, ET. AL. PUBLISHED IN UROLOGY 73: 586-590, 2009. THE FOLLOWING INFORMATION WAS DERIVED FROM THIS ARTICLE: AN EASY CORE BIOPSY DEVICE WAS USED DURING A PERCUTANEOUS CORE BIOPSY OF THE RENAL MASS. ACCORDING TO THE ARTICLE, THE PATIENT WAS EVALUATED IN THE EMERGENCY ROOM FOR FLANK PAIN AND WAS PROVIDED WITH APPROPRIATE PAIN MANAGEMENT. ATTEMPTS HAVE BEEN UNSUCCESSFUL TO OBTAIN ADDITIONAL INFORMATION. THIS REPORT IS FOR ONE OF TWO DEVICES. REFER TO ASSOCIATED MANUFACTURE REPORT # 3005099803-2009-05277 FOR A DESCRIPTION OF THE SECOND DEVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EASY CORE BIOPSY DEVICE FCG BOSTON SCIENTIFIC CORPORATION

    Patients

    Seq Age Sex Outcome Treatment
    1 Other| R