FDA Adverse Event Malfunction Summary report: N

EXALT MODEL D SINGLE USE DUODENOSCOPE - CLINICAL

MDR report key: 24632740 · Received March 18, 2026

Report

Report Number
3005099803-2026-01000
Event Type
Malfunction
Date Received
March 18, 2026
Date of Event
June 16, 2025
Report Date
April 29, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
FDT
PMA / PMN Number
K193202
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK H6: IMDRF CODE F1001 CAPTURES THE REPORTABLE EVENT OF ABSENCE OF TREATMENT. BLOCK B3: DATE OF EVENT REPRESENTS THE ARTICLE ONLINE PUBLISHING DATE. BLOCK D4, H4: DETAILED MODEL NUMBER AND LOT NUMBER WERE NOT PROVIDED TO BSC. GOOD FAITH EFFORTS WERE COMPLETED TO OBTAIN THIS INFORMATION; HOWEVER FURTHER INFORMATION HAS NOT BEEN RECEIVED TO DATE. BECAUSE THE PRODUCT INFORMATION IS CURRENTLY UNKNOWN, NO UDI AND OTHER PRODUCT SPECIFIC INFORMATION IS AVAILABLE. IF ADDITIONAL DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. BLOCK G2: LITERATURE SOURCE JOURNAL ARTICLE: IYIAD ALABDUL RAZZAK, ET AL. "EFFICACY AND SAFETY OF SINGLE USE DUODENOSCOPES IN COMPARISON TO REUSABLE DUODENOSCOPES FOR ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY: A SINGLE CENTER EXPERIENCE", WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY, 2025; DOI: 10.4253/WJGE.V17.I6.105298.

Additional Manufacturer Narrative · 0

BLOCK H6: IMDRF CODE F1001 CAPTURES THE REPORTABLE EVENT OF ABSENCE OF TREATMENT. BLOCK B3: DATE OF EVENT REPRESENTS THE ARTICLE ONLINE PUBLISHING DATE. BLOCK D4, H4 DETAILED MODEL NUMBER AND LOT NUMBER WERE NOT PROVIDED TO BSC. GOOD FAITH EFFORTS WERE COMPLETED TO OBTAIN THIS INFORMATION; HOWEVER FURTHER INFORMATION HAS NOT BEEN RECEIVED TO DATE. BECAUSE THE PRODUCT INFORMATION IS CURRENTLY UNKNOWN, NO UDI AND OTHER PRODUCT SPECIFIC INFORMATION IS AVAILABLE. IF ADDITIONAL DETAILS BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. BLOCK G2: LITERATURE SOURCE JOURNAL ARTICLE: IYIAD ALABDUL RAZZAK, ET AL. "EFFICACY AND SAFETY OF SINGLE USE DUODENOSCOPES IN COMPARISON TO REUSABLE DUODENOSCOPES FOR ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY: A SINGLE CENTER EXPERIENCE", WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY, 2025; DOI: 10.4253/WJGE.V17.I6.105298. BLOCK H11: THE DEVICES WERE NOT RETURNED FOR ANALYSIS, AND NO DIRECT DEVICE EVALUATION COULD BE PERFORMED. MEDIA PROVIDED IN THE PUBLICATION INCLUDED IMAGES OF A PATIENT UNDERGOING AN UPPER ENDOSCOPY FOR A GASTRIC ULCER AND PLACEMENT OF CLIPS; HOWEVER, THE DEVICE IN QUESTION WAS NOT SHOWN IN THE IMAGES. AS A RESULT, NO DEVICE MALFUNCTION OR PERFORMANCE ISSUE COULD BE CONFIRMED BASED ON THE AVAILABLE EVIDENCE. THE DEVICE WAS NOT RETURNED FOR ANALYSIS; THEREFORE, A TECHNICAL ANALYSIS COULD NOT BE PERFORMED. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) COULD NOT BE PERFORMED BECAUSE THE SHIP HISTORY REVIEW COULD NOT BE COMPLETED DUE TO THE UNAVAILABLE DOCUMENTATION. BASED ON THE EVENT DESCRIPTION AND INFORMATION PROVIDED BY THE CUSTOMER THERE IS NOT ENOUGH EVIDENCE TO DETERMINE WHETHER THE SCOPE POSITIONING ISSUE AND DEVICE DAMAGED/DEFECTIVE WAS DUE TO THE PHYSICIAN'S TECHNIQUE DURING THE PROCEDURE OR WAS RELATED TO A DEVICE MALFUNCTION. FOR THIS REASON, CAUSE NOT ESTABLISHED IS SELECTED AS THE MOST PROBABLE CAUSE FOR THESE EVENTS. ADDITIONALLY, FOR THE EVENT CANCELLED RESCHEDULED POST SEDATION/SEDATION UNKNOWN, IT HAPPENED DURING THE PROCEDURE, AND THE MOST PROBABLE CAUSE OF THIS REPORTED ISSUE CANNOT BE ESTABLISHED DUE TO LACK OF EVIDENCE. FOR THIS REASON, WILL BE CLASSIFIED AS CAUSE NOT ESTABLISHED.

Description of Event or Problem · 0

BOSTON SCIENTIFIC BECAME AWARE OF AN EVENT INVOLVING EXALT MODEL D SINGLE-USE DUODENOSCOPE THROUGH THE ARTICLE TITLED: EFFICACY AND SAFETY OF SINGLE USE DUODENOSCOPES IN COMPARISON TO REUSABLE DUODENOSCOPES FOR ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY: A SINGLE CENTER EXPERIENCE BY IYIAD ALABDUL RAZZAK, ET AL. PER THE ARTICLE, BETWEEN 2020 AND 2023, 133 PATIENTS UNDERGOING ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) USING EITHER EXALT MODEL D OR A REUSABLE SCOPE WERE ENROLLED. 53 PATIENTS WERE ENROLLED IN THE EXALT MODEL D GROUP. SUCCESS RATES AND ADVERSE EVENTS ASSOCIATED WITH BOTH SCOPE TYPES WERE COMPARED. FAILURE TO COMPLETE THE ERCP WAS REPORTED IN TWO CASES DUE TO INABILITY TO CANNULATE THE AMPULLA. AN ADDITIONAL OCCURRENCE OF ERCP FAILURE WAS ATTRIBUTED TO AN UNSPECIFIED MALFUNCTION. PLEASE REFER TO THE CITED ARTICLE FOR COMPLETE DETAILS.

Description of Event or Problem · 0

BOSTON SCIENTIFIC BECAME AWARE OF AN EVENT INVOLVING EXALT MODEL D SINGLE-USE DUODENOSCOPE THROUGH THE ARTICLE TITLED: EFFICACY AND SAFETY OF SINGLE USE DUODENOSCOPES IN COMPARISON TO REUSABLE DUODENOSCOPES FOR ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY: A SINGLE CENTER EXPERIENCE BY IYIAD ALABDUL RAZZAK, ET AL. PER THE ARTICLE, BETWEEN 2020 AND 2023, 133 PATIENTS UNDERGOING ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) USING EITHER EXALT MODEL D OR A REUSABLE SCOPE WERE ENROLLED. 53 PATIENTS WERE ENROLLED IN THE EXALT MODEL D GROUP. SUCCESS RATES AND ADVERSE EVENTS ASSOCIATED WITH BOTH SCOPE TYPES WERE COMPARED. FAILURE TO COMPLETE THE ERCP WAS REPORTED IN TWO CASES DUE TO INABILITY TO CANNULATE THE AMPULLA. AN ADDITIONAL OCCURRENCE OF ERCP FAILURE WAS ATTRIBUTED TO AN UNSPECIFIED MALFUNCTION. PLEASE REFER TO THE CITED ARTICLE FOR COMPLETE DETAILS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
690941 EXALT MODEL D SINGLE USE DUODENOSCOPE - CLINICAL DUODENOSCOPE AND ACCESSORIES, FLEXIBLE/RIGID FDT BOSTON SCIENTIFIC CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown