FDA Adverse Event Malfunction Summary report: N

COREDX?

MDR report key: 22560770 · Received July 21, 2025

Report

Report Number
3005099803-2025-03416
Event Type
Malfunction
Date Received
July 21, 2025
Date of Event
June 27, 2025
Report Date
November 28, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
EOQ
UDI-DI
08714729971054
PMA / PMN Number
K183085
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK H6: IMDRF DEVICE CODE A051104 CAPTURES THE REPORTABLE EVENT OF JAWS FAILURE TO CLOSE.

Additional Manufacturer Narrative · 0

BLOCK H2: ADDITIONAL INFORMATION: BLOCK B5 HAS BEEN UPDATED BASED ON THE ADDITIONAL INFORMATION PROVIDED ON NOVEMBER 06, 2025. BLOCK H6: IMDRF DEVICE CODE A051104 CAPTURES THE REPORTABLE EVENT OF JAWS FAILURE TO CLOSE.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC THAT A COREDX BIOPSY FORCEPS WAS USED IN THE COMMON BILE DUCT DURING A PERCUTANEOUS CHOLANGIOSCOPY WITH BIOPSY PROCEDURE PERFORMED ON (B)(6) 2025. DURING THE PROCEDURE, IT WAS NOTED THAT THE JAWS OF THE FORCEPS WOULD NOT CLOSE. THE FORCEPS WERE REMOVED TOGETHER WITH THE SPYGLASS DISCOVERY SCOPE. THERE WERE NO REPORTED PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT. NO FURTHER INFORMATION HAS BEEN OBTAINED DESPITE GOOD FAITH EFFORTS.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC THAT A COREDX BIOPSY FORCEPS WAS USED IN THE COMMON BILE DUCT DURING A PERCUTANEOUS CHOLANGIOSCOPY WITH BIOPSY PROCEDURE PERFORMED ON (B)(6) 2025. DURING THE PROCEDURE, IT WAS NOTED THAT THE JAWS OF THE FORCEPS WOULD NOT CLOSE. THE FORCEPS WERE REMOVED TOGETHER WITH THE SPYGLASS DISCOVERY SCOPE. THERE WERE NO REPORTED PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT. ACCORDING TO THE INFORMATION RECEIVED ON NOVEMBER 06, 2025; THE PROCEDURE WAS COMPLETED WITH A DIFFERENT DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2751626 COREDX? BRONCHOSCOPE (FLEXIBLE OR RIGID) EOQ BOSTON SCIENTIFIC CORPORATION M00515220 0034927002 08714729971054

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown