FDA Adverse Event Malfunction Summary report: N

ULTRATOME¿ RX

MDR report key: 2954869 · Received February 11, 2013

Report

Report Number
3005099803-2013-00777
Event Type
Malfunction
Date Received
February 11, 2013
Date of Event
January 20, 2013
Report Date
January 21, 2013
Manufacturer
BOSTON SCIENTIFIC - COSTA RICA (COYOL)
Product Code
KNS
PMA / PMN Number
K970053
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN RECEIVED FOR ANALYSIS. UPON COMPLETION OF THE FAILURE ANALYSIS OF THE COMPLAINT DEVICE, IF THERE IS ANY FURTHER RELEVANT INFORMATION FROM THAT REVIEW, A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Additional Manufacturer Narrative · 1

VISUAL EVALUATION OF THE RETURNED DEVICE FOUND THAT THE WORKING LENGTH OF THE DEVICE WAS TWISTED AND PAINT HAD PEELED OFF THE DISTAL TIP. THE CUTTING WIRE LENGTH WAS MEASURED AND FOUND TO MEET SPECIFICATION. FUNCTIONAL EVALUATION FOUND THAT THE ELECTRICAL RESISTIVITY OF THE DEVICE MET SPECIFICATION AND THE DEVICE BOWED ACCORDING TO SPECIFICATION. THE DEVICE FUNCTIONED AS INTENDED WITH RESPECT TO ELECTRICAL FUNCTIONALITY. THE INVESTIGATION WAS UNABLE TO CONFIRM THE REPORTED COMPLAINT. THE DEVICE HISTORY RECORD REVIEW FOUND THE DEVICE MET ALL MANUFACTURING SPECIFICATIONS. RESULTS: ALTHOUGH THE FULL INVESTIGATION DID NOT CONFIRM THAT THE DEVICE WOULD NOT CUT, THE OPERATIONAL PROBLEM IS BEING USED TO CAPTURE THE TWISTED WORKING LENGTH AND PEELED PAINT.

Description of Event or Problem · 1

NOTE: THIS REPORT PERTAINS TO ONE OF TWO DEVICES USED DURING THE SAME PROCEDURE. (MFR. REPORT #3005099803-2013-00776 AND MFR. REPORT #3005099803-2013-00777). IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT TWO ULTRATOME RX DEVICES WERE USED DURING AN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) PROCEDURE PERFORMED ON (B)(6) 2013. ACCORDING TO THE COMPLAINANT, DURING THE PROCEDURE, WHEN SPHINCTEROTOMY WAS ATTEMPTED WITH THE FIRST ULTRATOME (MFR. REPORT #3005099803-2013-00776), THE DEVICE WOULD NOT CUT. THE DEVICE WAS REMOVED FROM THE PATIENT. THE SECOND ULTRATOME DEVICE (SUBJECT OF THIS REPORT) WAS INTRODUCED INTO THE PATIENT, BUT THIS DEVICE WOULD NOT CUT EITHER. THE DEVICES WERE TESTED WITH TWO DIFFERENT BSC ACTIVE CORDS, BUT THE ISSUE REMAINED. FINALLY, THE ENDOSTAT GENERATOR WAS TURNED UP TO "50", AND SOME BLANCHING OF THE TISSUE WAS OBSERVED INDICATING CAUTERY. THE PROCEDURE WAS COMPLETED WITH THIS SECOND ULTRATOME DEVICE. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. THE PATIENT'S CONDITION AT THE CONCLUSION OF THE PROCEDURE WAS REPORTED TO BE FINE.

Description of Event or Problem · 1

NOTE: THIS REPORT PERTAINS TO ONE OF TWO DEVICES USED DURING THE SAME PROCEDURE. (MFR. REPORT #3005099803-2013-00776 AND MFR. REPORT #3005099803-2013-00777). IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT TWO ULTRATOME RX DEVICES WERE USED DURING AN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP) PROCEDURE PERFORMED ON (B)(6) 2013. ACCORDING TO THE COMPLAINANT, DURING THE PROCEDURE, WHEN SPHINCTEROTOMY WAS ATTEMPTED WITH THE FIRST ULTRATOME (MFR. REPORT #3005099803-2013-00776), THE DEVICE WOULD NOT CUT. THE DEVICE WAS REMOVED FROM THE PATIENT. THE SECOND ULTRATOME DEVICE (SUBJECT OF THIS REPORT) WAS INTRODUCED INTO THE PATIENT, BUT THIS DEVICE WOULD NOT CUT EITHER. THE DEVICES WERE TESTED WITH TWO DIFFERENT BSC ACTIVE CORDS, BUT THE ISSUE REMAINED. FINALLY, THE ENDOSTAT GENERATOR WAS TURNED UP TO "50", AND SOME BLANCHING OF THE TISSUE WAS OBSERVED INDICATING CAUTERY. THE PROCEDURE WAS COMPLETED WITH THIS SECOND ULTRATOME DEVICE. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. THE PATIENT'S CONDITION AT THE CONCLUSION OF THE PROCEDURE WAS REPORTED TO BE FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
59189 ULTRATOME¿ RX UNIT, ELECTROSURGICAL, ENDOSCOPIC (WITH OR WITHOUT ACCESSORIES) KNS BOSTON SCIENTIFIC - COSTA RICA (COYOL) M00545050 15560900

Patients

Seq Age Sex Outcome Treatment
1 42 YR BSC ENDOSTAT GENERATOR| BSC ACTIVE CORD (TWO USED)