FDA Adverse Event Malfunction Summary report: N

SPEEDBAND SUPERVIEW SUPER 7

MDR report key: 23072925 · Received September 17, 2025

Report

Report Number
3005099803-2025-04784
Event Type
Malfunction
Date Received
September 17, 2025
Date of Event
September 1, 2025
Report Date
December 30, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
MND
UDI-DI
08714729201960
PMA / PMN Number
510K EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK H6: IMDRF DEVICE CODE A150208 CAPTURES THE REPORTABLE EVENT OF SUTURE STUCK IN HOUSING.

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK H2 (CORRECTION): BLOCK H6 (DEVICE CODES) HAS BEEN UPDATED BASED ON THE INFORMATION THAT WAS IDENTIFIED ON DECEMBER 8, 2025. BLOCK H6: IMDRF DEVICE CODE A150208 CAPTURES THE REPORTABLE EVENT OF SUTURE STUCK IN HOUSING.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A SPEEDBAND SUPERVIEW SUPER 7 WAS USED IN AN UNKNOWN PROCEDURE. THE EXACT PROCEDURE DATE WAS UNKNOWN. IT WAS REPORTED THAT THE THREAD WHICH TRIGGERED THE RELEASE OF THE LIGATURES WAS LOCATED IN THE MIDDLE OF THE DEVICE, OBSTRUCTING THE OPERATOR'S VIEW. THE PROCEDURE WAS COMPLETED WITH ANOTHER SPEEDBAND SUPERVIEW SUPER 7. THERE WERE NO PATIENT COMPLICATIONS REPORTED 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 CORPORATION THAT A SPEEDBAND SUPERVIEW SUPER 7 WAS USED IN AN UNKNOWN PROCEDURE. THE EXACT PROCEDURE DATE WAS UNKNOWN. IT WAS REPORTED THAT THE THREAD WHICH TRIGGERED THE RELEASE OF THE LIGATURES WAS LOCATED IN THE MIDDLE OF THE DEVICE, OBSTRUCTING THE OPERATOR'S VIEW. IT WAS NOTED THAT THE THREAD WAS MORE FRAGILE THAN USUAL. UPON REMOVAL OF THE ENDOSCOPE AND THE DEVICE, THE SUTURE WAS REPORTEDLY DETACHED. THE PROCEDURE WAS COMPLETED WITH ANOTHER SPEEDBAND SUPERVIEW SUPER 7. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. NO FURTHER INFORMATION HAS BEEN OBTAINED DESPITE GOOD FAITH EFFORTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1635366 SPEEDBAND SUPERVIEW SUPER 7 LIGATOR, ESOPHAGEAL MND BOSTON SCIENTIFIC CORPORATION M00542251 0035488371 08714729201960

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown