FDA Adverse Event Other Summary report: N

OLYMPUS EVIS EXERA GASTROINTESTINAL VIDEOSCOPE

MDR report key: 1812787 · Received August 17, 2010

Report

Report Number
8010047-2010-00160
Event Type
Other
Date Received
August 17, 2010
Report Date
July 19, 2010
Manufacturer
OLYMPUS MEDICAL SYSTEM CORPORATION
Product Code
FDS
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE SUBJECT DEVICE WAS NOT RETURNED TO OLYMPUS FOR EVALUATION. AN OLYMPUS ENDOSCOPY SUPPORT SPECIALIST (ESS) HAS VISITED THE USER FACILITY AND PROVIDED IN-SERVICE TRAINING ON APPROPRIATE REPROCESSING OF ENDOSCOPES. THIS REPORT IS BEING SUBMITTED AS AN MDR IN AN ABUNDANCE OF CAUTION. CROSS REFERENCE MFR. REPORT NUMBER: 8010047-2010-00XXX FOR OTHER RELATED REPORT.

Description of Event or Problem · 1

OLYMPUS WAS INFORMED THAT THE USER FACILITY WAS REPORTEDLY NOT REPROCESSING THE SUBJECT DEVICE IN ACCORDANCE WITH THE DIRECTIONS FOR USE. THE USER FACILITY WAS REPORTEDLY CONNECTING NON-OLYMPUS ACCESSORIES TO THE INSTRUMENT CHANNEL PORTS DURING REPROCESSING IN THE FACILITY'S AUTOMATIC ENDOSCOPE REPROCESSOR (AER). USE OF THE NON-OLYMPUS ACCESSORIES WOULD LIKELY RESULT IN ONE OR BOTH OF THE DUAL INSTRUMENT CHANNELS NOT BEING ADEQUATELY FLUSHED DURING REPROCESSING. THE USER FACILITY WAS SAID TO HAVE BEEN REPROCESSING THIS DEVICE IN THIS MANNER FOR MANY YEARS. THERE WERE NO REPORTS OF PATIENT INFECTIONS ASSOCIATED WITH THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OLYMPUS EVIS EXERA GASTROINTESTINAL VIDEOSCOPE GASTROSCOPE FDS OLYMPUS MEDICAL SYSTEM CORPORATION GIF-2T160 NA

Patients

Seq Age Sex Outcome Treatment
1