FDA Adverse Event Other Summary report: N

OLYMPUS BRONCHOFIBERSCOPE

MDR report key: 2181539 · Received July 15, 2011

Report

Report Number
8010047-2011-00155
Event Type
Other
Date Received
July 15, 2011
Report Date
June 16, 2011
Manufacturer
OLYMPUS MEDICAL SYSTEM CORPORATION
Product Code
EOQ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE REFERENCED IN THIS REPORT WAS NOT RETURNED TO OLYMPUS MEDICAL SYSTEMS CORP (OMSC) FOR EVALUATION. AN OLYMPUS REPRESENTATIVE VISITED THE USER FACILITY ON (B)(4), 2011, TO ASSESS THE USER FACILITY'S REPROCESSING PRACTICES. THE OLYMPUS REPRESENTATIVE REPORTED THE DEVICE WAS NOT BEING REPROCESSED IN ACCORDANCE WITH THE DIRECTIONS FOR USE. THE USER FACILITY DID NOT HAVE A STANDARDIZED REPROCESSING METHOD FOR THE DEVICE, AND THERE WAS VARIATION IN REPROCESSING AMONG STAFF. ADDITIONALLY, THE USER FACILITY WAS REPORTEDLY USING A LOW-LEVEL DISINFECTANT TO REPROCESS THE BRONCHOSCOPE. THE OLYMPUS REPRESENTATIVE HAS PROVIDED TRAINING REGARDING APPROPRIATE REPROCESSING TO THE USER FACILITY PERSONNEL. THERE WAS NO FURTHER INFO OBTAINED REGARDING THE PTS INVOLVED INTO THIS REPORT. THE EXACT CAUSE OF THE REPORTED EVENT COULD NOT BE CONCLUSIVELY DETERMINED, BUT INSUFFICIENT REPROCESSING OF THE DEVICE COULD NOT BE RULED OUT AS A CONTRIBUTORY FACTOR TO THE REPORTED EVENT. THIS REPORT IS BEING SUBMITTED AS A MEDICAL DEVICE REPORT IN AN ABUNDANCE OF CAUTION.

Description of Event or Problem · 1

OLYMPUS WAS INFORMED THAT THE SUBJECT DEVICE HAS NOT BEEN REPROCESSED IN A HIGH-LEVEL DISINFECTANT. A TOTAL OF 31 PTS WERE SAID TO HAVE BEEN AFFECTED. ONE OF THE 31 PTS WAS SAID TO HAVE BEEN TESTED POSITIVE FOR (B)(6).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OLYMPUS BRONCHOFIBERSCOPE BRONCHOSCOPE EOQ OLYMPUS MEDICAL SYSTEM CORPORATION BF-3C30 NA

Patients

Seq Age Sex Outcome Treatment
1