FDA Adverse Event Injury Summary report: N

EVIS LUCERA ELITE GASTROINTESTINAL VIDEOSCOPE

MDR report key: 16625183 · Received March 27, 2023

Report

Report Number
9610595-2023-05119
Event Type
Injury
Date Received
March 27, 2023
Date of Event
August 7, 2022
Report Date
May 3, 2023
Manufacturer
AIZU OLYMPUS CO., LTD.
Product Code
FDS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE SUSPECT DEVICE HAS NOT BEEN RETURNED TO OLYMPUS FOR EVALUATION. THE INVESTIGATION IS IN PROCESS. THE LITERATURE ARTICLE IS ATTACHED FOR ADDITIONAL INFORMATION. ONCE THE INVESTIGATION HAS BEEN COMPLETED, A SUPPLEMENTAL REPORT WILL BE SUBMITTED WITH DEVICE EVALUATION RESULTS.

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SUPPLEMENTED TO PROVIDE ADDITIONAL INFORMATION BASED ON THE LEGAL MANUFACTURER'S FINAL INVESTIGATION. THE DEVICE HISTORY RECORD WAS UNABLE TO BE REVIEWED FOR THIS DEVICE SINCE THE SERIAL AND/OR LOT NUMBER WAS NOT PROVIDED. HOWEVER, OLYMPUS ONLY RELEASES PRODUCTS TO MARKET THAT MEET ALL MANUFACTURING SPECIFICATIONS AND FINAL PRODUCT RELEASE CRITERIA. BASED ON THE RESULTS OF THE INVESTIGATION, THE RELATIONSHIP BETWEEN THE DEVICE AND THE ADVERSE EVENTS CANNOT BE CONFIRMED. THERE WAS NO COMPLAINT REPORTED ON THE SUBJECT DEVICE. THERE IS NO EVIDENCE OF AN OLYMPUS DEVICE MALFUNCTION. THEREFORE, THE ROOT CAUSE CANNOT BE DETERMINED. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.

Description of Event or Problem · 0

OLYMPUS REVIEWED THE FOLLOWING LITERATURE TITLED "EFFICACY AND SAFETY OF ONE-STEP KNIFE COMPARED TO CONVENTIONAL INSULATED-TIP KNIFE FOR ENDOSCOPIC SUBMUCOSAL DISSECTION: A PRELIMINARY STUDY WITH PROSPECTIVE DATA COLLECTION AND RETROSPECTIVE REVIEW." THIS PROSPECTIVE DATA COLLECTION AND RETROSPECTIVE REVIEW, AIMED TO COMPARE THE INSULATED TIP TYPE OF ONE STEP KNIFE (OSK) AND CONVENTIONAL KNIFE (CK) IN TERMS OF PROCEDURE TIME AND COMPLICATION RATE. A TOTAL OF 203 PATIENTS WERE INCLUDED IN THE STUDY (OSK (N = 102) & CK (N = 101). THE PROCEDURE TIME OF ESD WAS SHORTER IN OSK GROUP ALL SITUATIONS EXCEPT FOR THE RESECTION OF SUBMUCOSAL CANCER. THE PROCEDURE TIME FOR EACH LOCATION WAS MORE REDUCED IN THE BODY (MEDIAN 14 VS. 19 MIN P<0.01) THAN THE ANTRUM (MEDIAN 10 VS. 14 MIN, P=0.01) IN THE OSK GROUP. THE COMPLICATIONS WERE NOT SIGNIFICANTLY DIFFERENT BETWEEN BOTH GROUPS. IN SUMMARY, OSK IS A SAFE AND EFFECTIVE KNIFE COMPARED TO CONVENTIONAL KNIVES AND SHOWED FASTER PROCEDURE TIME, ESPECIALLY IN GASTRIC BODY LESIONS. TYPE OF ADVERSE EVENTS/NUMBER OF PATIENTS: BLEEDING - 8 PATIENTS. PERFORATION - 3 PATIENTS. ALL COMPLICATIONS WERE CONTROLLED BY ENDOSCOPIC MANAGEMENT. THIS LITERATURE ARTICLE REQUIRES 2 REPORTS. THE RELATED PATIENT IDENTIFIERS ARE AS FOLLOWS: (B)(6) (FOR KD-611L). (B)(6) (FOR GIF-HQ290). THERE IS NO REPORT OF ANY OLYMPUS DEVICE MALFUNCTION IN ANY PROCEDURE DESCRIBED IN THIS STUDY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
427751 EVIS LUCERA ELITE GASTROINTESTINAL VIDEOSCOPE GASTROINTESTINAL VIDEOSCOPE FDS AIZU OLYMPUS CO., LTD. GIF-HQ290

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention| L SINGLE USE ELECTROSURGICAL KNIFE - LOT UNKNOWN.