F88 URE-SD FLEXIBLE URETEROSCOPE
Report
- Report Number
- 3038613058-2025-00002
- Event Type
- Malfunction
- Date Received
- September 11, 2025
- Date of Event
- August 13, 2025
- Report Date
- November 5, 2025
- Manufacturer
- SG ENDOSCOPY PTE LTD
- Product Code
- FGB
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OK, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THIS FOLLOW UP REPORT IS BEING SUBMITTED TO TO REPORT INVESTIGATION FINDINGS, THE DEVICE WAS FOUND TO BE LEAKING UPON RECEIPT. UPON FURTHER INVESTIGATION, IT WAS FOUND THAT THERE WAS A PUNCTURE HOLE IN THE WORKING CHANNEL, WHICH WAS DETERMINED TO BE THE CAUSE OF THE LEAK. IT IS STATED IN THE IFU UNDER WARNINGS: DURING THE PROCDURE TO "NOT USE THE DEVICE IF INTERFERENCE OR RESISTANCE IS FELT WHEN INSERTING A SURGICAL INSTRUMENT INTO THE WORKING CHANNEL. FORCING THE INSTRUMENT MAY CAUSE DAMANGE TO THE DEVICE OR HARM THE PATIENT". A PUNCTURE HOLE IN THE WORKING CHANNEL IS NOT EXPECTED DURING NORMAL USAGE OF THE DEVICE. IT WAS DETERMINED THAT THE ISSUE WAS NOT DUE TO A DEFECT OF THE DEVICE OR MANUFACTURING PROCESS. THE ROOT CAUSE COULD NOT BE CONCLUSIVELY DETERMINED, BUT WAS ATTRIBUTED TO A USE ERROR BY THE USER.
REVIEW OF PRODUCTION RECORDS DID NOT REVEAL ANY DEVIATIONS IN THE MANUFACTURING PROCESS. THE DEVICE PASSED ALL SPECIFIED ACCEPTANCE CRITERIA PRIOR TO RELEASE. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETED OR IF ADDITIONAL INFORMATION BECOMES AVAILABLE. DEVICE RECEIPT ANTICIPATED BUT HAS NOT BEEN RECEIVED.
IT WAS REPORTED THAT THE SUBJECT DEVICE FAILED LEAK TEST DURING REPROCESSING AFTER ITS 2ND CASE. THERE WERE NO REPORTS OF PATIENT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2676660 | F88 URE-SD FLEXIBLE URETEROSCOPE | FLEXIBLE URETEROSCOPE | FGB | SG ENDOSCOPY PTE LTD | F88 URE-SD | E/LOTFG-101736 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |