EVIS LUCERA GASTROINTESTINAL VIDEOSCOPE
Report
- Report Number
- 8010047-2022-07526
- Event Type
- Injury
- Date Received
- May 4, 2022
- Report Date
- July 1, 2022
- Manufacturer
- OLYMPUS MEDICAL SYSTEMS CORP.
- Product Code
- FDS
- PMA / PMN Number
- K954451
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
THE SUSPECT DEVICE HAS NOT BEEN RETURNED TO OLYMPUS FOR EVALUATION. THE INVESTIGATION IS IN PROCESS. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED WITH DEVICE EVALUATION RESULTS.
THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED TO PROVIDE ADDITIONAL INFORMATION FROM THE AUTHOR AND THE LEGAL MANUFACTURER'S INVESTIGATION. NEW INFORMATION ADDED TO THE FOLLOWING FIELDS: B5, H6, H10. THE DEVICE HISTORY RECORDS (DHR) FOR THIS DEVICE COULD NOT BE REVIEWED SINCE THE SERIAL NUMBER WAS NOT PROVIDED. OLYMPUS SHIPS DEVICES MANUFACTURED ACCORDING TO ALL APPLICABLE PROCEDURES AND MEET FINAL PRODUCT RELEASE CRITERIA. BASED ON THE RESULTS OF THE INVESTIGATION, THE RELATIONSHIP BETWEEN THE DEVICE AND THE ADVERSE EVENT CANNOT BE CONFIRMED. THERE WAS NO COMPLAINT REPORTED ON THE SUBJECT DEVICE. THERE IS NO EVIDENCE OF AN OLYMPUS DEVICE MALFUNCTION. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.
OLYMPUS REVIEWED THE FOLLOWING LITERATURE TITLED: "EVALUATING THE EFFECT OF INJECTING TRIAMCINOLONE ACETONIDE IN TWO SESSIONS FOR PREVENTING ESOPHAGEAL STRICTURE AFTER ENDOSCOPIC SUBMUCOSAL DISSECTION." LITERATURE SUMMARY. THE STUDY INVESTIGATED THE EFFICACY OF INJECTING TRIAMCINOLONE ACETONIDE (TA) IN TWO SESSIONS FOR PREVENTING STRICTURE FORMATION POST-ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD). THE PRIMARY ENDPOINT OF THIS STUDY WAS FREQUENCY OF STRICTURE AFTER TA INJECTION. THE SECONDARY ENDPOINT WAS NUMBER OF REQUIRED ENDOSCOPIC BALLOON DILATIONS (EBDS) AFTER TA INJECTION. THE POST-ESD STRICTURE RATE AMONG PATIENTS WHO HAD SUBCIRCUMFERENTIAL MUCOSAL DEFECTS WAS 45.7% IN THE STUDY GROUP (16/35 PATIENTS), WHICH WAS SIGNIFICANTLY LOWER THAN THE RATE OF 73.9% IN THE CONTROL GROUP (17/23 PATIENTS; P = 0.031). THE NUMBER OF EBD PROCEDURES REQUIRED WAS SIGNIFICANTLY LOWER IN THE STUDY GROUP (MEDIAN 0, RANGE 0 ¿ 7) THAN IN THE CONTROL GROUP (MEDIAN 4, RANGE 0 ¿ 20; P < 0.001). THIS STUDY SHOWED THAT PERFORMING TWO SESSIONS OF TA INJECTION IS AN EFFECTIVE AND SAFE TREATMENT FOR PREVENTION OF ESOPHAGEAL STRICTURE FOLLOWING SUBCIRCUMFERENTIAL ESD. TYPE OF ADVERSE EVENTS/NUMBER OF PATIENTS. SUBCIRCUMFERENTIAL MUCOSAL DEFECTS. STUDY GROUP. PERFORATIONS AFTER EBD AT 22 AND 77 DAYS AFTER ESD - (2). CONTROL GROUP. PERFORATIONS AFTER EBD AT 36 DAYS AFTER ESD - (1). CIRCUMFERENTIAL MUCOSAL DEFECTS. CONTROL GROUP. PERFORATION AFTER EBD WAS RECOGNIZED AT 7 DAYS AFTER ESD IN 1 PATIENT. THIS ARTICLE INCLUDES 4 REPORTS: (B)(6): KD-620LR. (B)(6): FD-410LR. (B)(6): GIF-Q240. (B)(6): GIF-Q260J. THIS REPORT IS 4 OF 4 FOR (B)(6): GIF-Q260J.
ADDITIONAL INFORMATION RECEIVED FROM THE AUTHOR: IN THE MEDICAL OPINION OF THE AUTHOR, THE OLYMPUS DEVICES DID NOT CAUSE OR CONTRIBUTE TO THE ADVERSE EVENTS. THE AUTHOR STATED: ¿I DON'T KNOW IF THE POSSIBILITY IS ZERO, BUT I DON'T THINK THAT THERE IS A PROBLEM WITH THE DEVICES.¿ ADDITIONALLY, THE AUTHOR REPORTED THAT NO OLYMPUS DEVICES HAD MALFUNCTIONED DURING ANY PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1804467 | EVIS LUCERA GASTROINTESTINAL VIDEOSCOPE | GASTROINTESTINAL VIDEOSCOPE | FDS | OLYMPUS MEDICAL SYSTEMS CORP. | GIF-Q260J |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other | KD-620LR,FD-410LR. |