FDA Adverse Event
Malfunction
Summary report: N
SPYGLASS DS
MDR report key: 24259765
·
Received February 4, 2026
Report
- Report Number
- 3005099803-2026-00448
- Event Type
- Malfunction
- Date Received
- February 4, 2026
- Date of Event
- January 26, 2026
- Report Date
- February 4, 2026
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- FBN
- UDI-DI
- 08714729874348
- PMA / PMN Number
- K183636
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GR
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
BLOCK D2B: SUBSEQUENT PRODUCT CODES KQM, NTN. BLOCK H6: IMDRF DEVICE CODE F1001 CAPTURES THE REPORTABLE EVENT OF ABSENCE OF TREATMENT.
Description of Event or Problem · 0
IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A SPYSCOPE DS CONTROLLER WAS ATTEMPTED FOR USE DURING A DIAGNOSTIC ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) PROCEDURE ON (B)(6) 2026, FOR THE TREATMENT OF BILIARY STRICTURE. DURING THE PROCEDURE, THE SPYSCOPE DS CONTROLLER DID NOT DISPLAY AN IMAGE ON THE MONITOR. AFTER INSPECTION, IT APPEARED THAT THERE WAS NOT A PROPER CONNECTION AT THE PORT WHERE THE CATHETER IS CONNECTED TO THE CONTROLLER. THE PHYSICIAN WAS UNABLE TO COMPLETE THE ERCP DUE TO THIS EVENT. NO PATIENT COMPLICATIONS WERE REPORTED AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 321988 | SPYGLASS DS | CHOLEDOCHOSCOPE AND ACCESSORIES, FLEXIBLE/RIGID | FBN | BOSTON SCIENTIFIC CORPORATION | M00546650 | 1517400017 | 08714729874348 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |