FDA Adverse Event Malfunction Summary report: N

FUJIFILM 600 SERIES ENDOSCOPE EC-600WM

MDR report key: 21204907 · Received January 22, 2025

Report

Report Number
3001722928-2024-00036
Event Type
Malfunction
Date Received
January 22, 2025
Date of Event
November 6, 2024
Report Date
January 22, 2025
Manufacturer
FUJIFILM CORPORATION
Product Code
FDF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SINCE EC-600WM IS SIMILAR TO EC-600WL(510(K) NUMBER;K132210) MARKETED IN U.S., FUJIFILM SUBMIT THIS MDR. THE UDI-DI FOR EC-600WL IN THE UNITED STATES IS (B)(4). THIS EVENT WAS DETECTED BY A LOCAL AGENT ON THE NMPA WEBSITE IN CHINA. AND THE LOCAL AGENT VISITED THE FACILITY TO OBTAIN MORE DETAILED INFORMATION. THE RESULT OF THE POST-REPAIR CULTURE TEST WAS 0 CFU, SO IT IS THOUGHT THAT THE CAUSE WAS DUE TO AIR LEAK OF THE FORCEPS CHANNEL.

Description of Event or Problem · 0

THIS ENDOSCOPE WAS TAKEN OUT OF SERVICE AFTER 5150 CFU FROM THE FORCEPS CHANNEL WERE DETECTED IN A CULTURE TEST CONDUCTED BY THE FACILITY. THE FACILITY CONDUCTED ANOTHER CULTURE TEST AFTER CLEANING AND DISINFECTING THE ENDOSCOPE AGAIN, BUT 50 CFU WERE DETECTED. AFTER THIS, AN AIR LEAK WAS DETECTED FROM THE FORCEPS CHANNEL, AND THE FACILITY ASKED A THIRD PARTY TO REPLACE AND REPAIR THE FORCEPS CHANNEL. THE RESULT OF THE CULTURE TEST AFTER THE REPAIR WAS 0 CFU.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
713793 FUJIFILM 600 SERIES ENDOSCOPE EC-600WM COLONOSCOPE AND ACCESSORIES, FLEXIBLE/RIGID FDF FUJIFILM CORPORATION EC-600WM

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown