FDA Adverse Event Malfunction Summary report: N

ACQUIRE

MDR report key: 25256608 · Received May 22, 2026

Report

Report Number
3005099803-2026-02028
Event Type
Malfunction
Date Received
May 22, 2026
Date of Event
April 29, 2026
Report Date
May 22, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
FCG
UDI-DI
08714729931829
PMA / PMN Number
K223616
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK D2B PRO CODE (PRODUCT CODE): ADDITIONAL PRO CODE: ODG BLOCK H6: DEVICE CODE A041001 IS BEING USED TO CAPTURE THE REPORTABLE EVENT OF NEEDLE PUNCTURED SHEATH. DEVICE CODE A0501IS BEING USED TO CAPTURE THE REPORTABLE EVENT OF NEEDLE DETACHMENT OF DEVICE OR DEVICE COMPONENT.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT AN ACQUIRE EUS FNB NEEDLE 19 G FLEX WAS USED FOR AN ENDOSCOPIC ULTRASOUND (EUS) PROCEDURE PERFORMED ON (B)(6) 2026. DURING THE PROCEDURE, THE NEEDLE WOULD NOT EXTEND OUT OF THE SHEATH. WHEN THE DEVICE WAS TRYING TO BE REMOVED FROM THE SCOPE, THE NEEDLE BROKE AND DETACHED FROM THE DEVICE. WHILE THE DEVICE WAS TAKING OUT OF THE SCOPE, THE NEEDLE CAUSED DAMAGED TO THE SCOPE AND PUNCTURED THE SHEATH. ANOTHER ACQUIRE EUS FNB NEEDLE 19 G FLEX WAS USED TO SUCCESSFULLY CONTINUE AND COMPLETE THE PROCEDURE. THERE WAS NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
529524 ACQUIRE BIOPSY NEEDLE FCG BOSTON SCIENTIFIC CORPORATION M00555580 0038541306 08714729931829

Patients

Seq Age Sex Outcome Treatment
1