PMID- 38316225 OWN - NLM STAT- Publisher LR - 20240205 IS - 1097-6779 (Electronic) IS - 0016-5107 (Linking) DP - 2024 Feb 3 TI - Adverse Events of the Single Operator Cholangioscopy System: A MAUDE Database Analysis. LID - S0016-5107(24)00087-7 [pii] LID - 10.1016/j.gie.2024.01.043 [doi] AB - BACKGROUND AND AIMS: SpyGlass single operator cholangioscopy (SOC) system is generally considered safe but adds additional risks to those associated with standard endoscopic retrograde cholangiopancreatography. METHODS: We evaluated adverse events (AEs) with the SpyGlass System reported in the United States Food and Drug Administration (FDA) Manufacturer and User Facility Device Experience (MAUDE) database between January 2016 & August 2023. RESULTS: A total of 2331 device problems (SpyGlass DS:1301, SpyGlass DS II:1010) were reported. An optical problem was the most reported issue with 83 for the SpyGlass DS and 457 for the SpyGlass DS II. Patient related events were found in 62 (3.5%) of 1743 reports: 33 with SpyGlass DS, and 29 with SpyGlass DSII. The most common AEs were bleeding/hemorrhage followed by perforation, infection, fever, or sepsis and pancreatitis. CONCLUSIONS: Our findings add to the existing literature and provides a fuller picture of potential problems associated with SpyGlass SOC. CI - Copyright (c) 2024 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved. FAU - Chandan, Saurabh AU - Chandan S AD - Division of Gastroenterology & Hepatology, Creighton University School of Medicine, Omaha, NE, USA. Electronic address: saurabhchandan@gmail.com. FAU - Ramai, Daryl AU - Ramai D AD - Division of Gastroenterology, Hepatology, and Nutrition, University of Utah Health, Salt Lake City, UT, USA. FAU - Mozell, Daniel AU - Mozell D AD - Department of Internal Medicine, Icahn School of Medicine at Mount Sinai (NYC Health and Hospitals/Elmhurst), Elmhurst, NY, USA. FAU - Facciorusso, Antonio AU - Facciorusso A AD - Section of Gastroenterology, Department of Medical Sciences, University of Foggia, Foggia, Italy. FAU - Diehl, David L AU - Diehl DL AD - Division of Gastroenterology and Hepatology, Geisinger Medical Center, Danville, PA, USA. FAU - Kochhar, Gursimran S AU - Kochhar GS AD - Division of Gastroenterology, Hepatology & Nutrition, Allegheny Health Network, Pittsburgh, PA, USA. LA - eng PT - Journal Article DEP - 20240203 PL - United States TA - Gastrointest Endosc JT - Gastrointestinal endoscopy JID - 0010505 SB - IM EDAT- 2024/02/06 00:42 MHDA- 2024/02/06 00:42 CRDT- 2024/02/05 19:22 PHST- 2023/12/07 00:00 [received] PHST- 2024/01/09 00:00 [revised] PHST- 2024/01/25 00:00 [accepted] PHST- 2024/02/06 00:42 [medline] PHST- 2024/02/06 00:42 [pubmed] PHST- 2024/02/05 19:22 [entrez] AID - S0016-5107(24)00087-7 [pii] AID - 10.1016/j.gie.2024.01.043 [doi] PST - aheadofprint SO - Gastrointest Endosc. 2024 Feb 3:S0016-5107(24)00087-7. doi: 10.1016/j.gie.2024.01.043.