FDA Adverse Event
Malfunction
Summary report: N
CAPIO SLIM
MDR report key: 16815542
·
Received April 26, 2023
Report
- Report Number
- 16815542
- Event Type
- Malfunction
- Date Received
- April 26, 2023
- Date of Event
- November 9, 2022
- Report Date
- December 23, 2022
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- PWI
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- OR
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THIS IS THE NTH TIME WE ARE DOCUMENTING A REPORT OF THE CAPIO SLIM OPEN ACCESS SUTURE CAPTURING DEVICE. THE SAME CONCERN OF NOT ANCHORING, VERY UNSAFE AS IT IS A BLIND ACCESS APPROACH WHEN FIRED. TODAY, THE PATIENT BLED AND WE HAVE TO OPEN MORE SUPPLIES LIKE FLOSEAL, MORE SUTURES TO REINFORCE/REDO STITCHES THAT GAVE UP EVERY FAILED ATTEMPT FOR ANCHORING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 610129 | CAPIO SLIM | INSTRUMENTATION, SURGICAL MESH, UROGYNECOLOGIC, TRANSVAGINAL REPAIR | PWI | BOSTON SCIENTIFIC CORPORATION | M0068318260 | 30254839 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 20075 DA | Female |