SPYGLASS DS M00546650

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-15 for SPYGLASS DS M00546650 manufactured by Boston Scientific Corporation.

Event Text Entries

[175095498] The spyglass ds digital controller and cable cleaning instructions state to use 15-70% isopropyl alcohol in a purified water solution. The autolith touch states to clean the cable using a moistened cloth. Manufacturer's cleaning instructions are not appropriate for this piece of hospital equipment.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9590843
MDR Report Key9590843
Date Received2020-01-15
Date of Report2019-11-18
Date of Event2019-11-15
Report Date2019-11-18
Date Reported to FDA2019-11-18
Date Reported to Mfgr2020-01-15
Date Added to Maude2020-01-15
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSPYGLASS DS
Generic NameLED LIGHT SOURCE
Product CodeNTN
Date Received2020-01-15
Model NumberM00546650
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerBOSTON SCIENTIFIC CORPORATION
Manufacturer Address300 BOSTON SCIENTIFIC WAY MARLBOROUGH MA 01752 US 01752


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-15

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