FDA Adverse Event Other Summary report: N

OLYMPUS EVIS EXERA GASTROVIDEOSCOPE

MDR report key: 1520494 · Received October 28, 2009

Report

Report Number
8010047-2009-00214
Event Type
Other
Date Received
October 28, 2009
Report Date
September 30, 2009
Manufacturer
OLYMPUS MEDICAL SYSTEMS CORPORATION
Product Code
GCK
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

NO DEVICES WERE RETURNED TO OLYMPUS FOR EVALUATION IN ASSOCIATION WITH THIS REPORT. AN OLYMPUS ENDOSCOPE SPECIALIST (ESS) VISITED THE USER FACILITY, AND REVIEWED APPROPRIATE REPROCESSING WITH FACILITY PERSONNEL. BASED UPON THE INFO PROVIDED THE USER FACILITY PERSONNEL DID NOT REPROCESS THE DEVICE IN ACCORDANCE WITH THE RECOMMENDED REPROCESSING INSTRUCTIONS. THIS REPORT IS BEING SUBMITTED AS AN MDR IN AN ABUNDANCE OF CAUTION.

Description of Event or Problem · 1

USER FACILITY PERSONNEL REPORTED THEY HAD NOT BEEN REPROCESSING THE AUXILIARY WATER CHANNELS OF ENDOSCOPES AT THEIR FACILITY SINCE THE TIME OF PURCHASE. THERE WERE NO REPORTS OF INJURIES ASSOCIATED WITH THE REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OLYMPUS EVIS EXERA GASTROVIDEOSCOPE GASTROSCOPES GCK OLYMPUS MEDICAL SYSTEMS CORPORATION GIF-Q160 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK