FDA Adverse Event Malfunction Summary report: N

SPEEDBAND SUPERVIEW SUPER 7, MODELS 4204

MDR report key: 1880687 · Received October 25, 2010

Report

Report Number
3005099803-2010-04493
Event Type
Malfunction
Date Received
October 25, 2010
Date of Event
September 29, 2010
Report Date
September 29, 2010
Manufacturer
BOSTON SCIENTIFIC - SPENCER
Product Code
MND
PMA / PMN Number
K020824
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN RECEIVED FOR ANALYSIS HOWEVER; AN EVALUATION HAS NOT BEEN PERFORMED AS OF YET. UPON COMPLETION OF THE FAILURE ANALYSIS OF THE COMPLAINT DEVICE, IF THERE IS ANY FURTHER RELEVANT INFORMATION FROM THAT REVIEW, A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Additional Manufacturer Narrative · 1

A VISUAL EXAMINATION OF THE RETURNED DEVICE FOUND THAT A TOTAL OF THREE BANDS (TWO BLUE AND ONE WHITE) WERE FOUND INTACT ON THE LIGATOR HEAD WHICH WERE NOT DEPLOYED AND WERE TWISTED ON THE LIGATOR HEAD ASSEMBLY. THE TEETH ON THE LIGATOR HEAD WERE FOUND TO BE DAMAGED LIKELY DUE TO THE USAGE OF THE DEVICE. THE TRIP WIRE ON THE HANDLE ASSEMBLY WAS FOUND TO BE CINCHED INTO THE HANDLE SLOT BUT WAS BROKEN AT THE PROXIMAL END. THE TRIP WIRE WAS ALSO WOUND AROUND THE DRUM, INDICATING THE HANDLE HAD BEEN TURNED TO DEPLOY THE BANDS. THE DEPLOYMENT THREAD WAS FOUND SEPARATED FROM THE LIGATOR HEAD BUT WAS NOT BROKEN AND REMAINED ATTACHED TO THE DISTAL END OF THE TRIP WIRE. A FUNCTIONAL CHECK OF THE HANDLE FOUND THAT THE HANDLE KNOB WAS ABLE TO TURN TO TAKE UP SLACKS AND THERE WAS AN AUDIBLE CLICK HEARD AT EACH COMPLETE TURN. THE MOST PROBABLE ROOT CAUSE HAS BEEN DETERMINED TO BE OPERATIONAL CONTEXT. IT IS LIKELY THAT ANATOMICAL/PROCEDURAL/OPERATIONAL FACTORS IMPACTED THE DEPLOYMENT ACTIVITY OF THE BANDS AND CAUSED THE TEETH ON THE LIGATOR HEAD TO INADVERTENTLY DAMAGE DURING USE. THIS CAN IN TURN CAUSE THE BANDS TO STACK UP ON THE LIGATOR HEAD AND HINDER THE DEPLOYMENT ACTIVITY OF THE DEVICE. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) WAS PERFORMED; NO ANOMALIES WERE NOTED. A SEARCH OF THE COMPLAINT DATABASE REVEALED THAT NO SIMILAR COMPLAINTS EXIST FOR THE SPECIFIED LOT.

Description of Event or Problem · 1

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A SPEEDBAND SUPERVIEW SUPER 7 MULTIPLE BAND LIGATOR WAS USED DURING AN ESOPHAGEAL BANDING PERFORMED ON (B)(6), 2010. ACCORDING TO THE COMPLAINANT, DURING PREPARATION, OUTSIDE OF THE PATIENT, THE PHYSICIAN WAS TESTING THE DEVICE. THE FIRST THREE BANDS DEPLOYED AS DESIGNED. WHEN AN ATTEMPT WAS MADE TO DEPLOY THE FOURTH BAND, THEY NOTICED THAT THE SUTURE WAS NOT ATTACHED TO THE TEETH OF THE LIGATOR HEAD PROPERLY. THEREFORE, THE BAND WOULD NOT DEPLOY. THE CASE WAS COMPLETED WITH ANOTHER SPEEDBAND SUPERVIEW SUPER 7 MULTIPLE BAND LIGATOR. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. THE PATIENT'S CONDITION AT THE CONCLUSION OF THE PROCEDURE WAS REPORTED TO BE GOOD.

Description of Event or Problem · 1

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A SPEEDBAND SUPERVIEW SUPER 7 MULTIPLE BAND LIGATOR WAS USED DURING AN ESOPHAGEAL BANDING PERFORMED ON (B)(6), 2010. ACCORDING TO THE COMPLAINANT, DURING PREPARATION, OUTSIDE OF THE PATIENT, THE PHYSICIAN WAS TESTING THE DEVICE. THE FIRST THREE BANDS DEPLOYED AS DESIGNED. WHEN AN ATTEMPT WAS MADE TO DEPLOY THE FOURTH BAND, THEY NOTICED THAT THE SUTURE WAS NOT ATTACHED TO THE TEETH OF THE LIGATOR HEAD PROPERLY. THEREFORE, THE BAND WOULD NOT DEPLOY. THE CASE WAS COMPLETED WITH ANOTHER SPEEDBAND SUPERVIEW SUPER 7 MULTIPLE BAND LIGATOR. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. THE PATIENT'S CONDITION AT THE CONCLUSION OF THE PROCEDURE WAS REPORTED TO BE GOOD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SPEEDBAND SUPERVIEW SUPER 7, MODELS 4204 LIGATOR, ESOPHAGEAL MND BOSTON SCIENTIFIC - SPENCER M00542251 13325442

Patients

Seq Age Sex Outcome Treatment
1