FDA Adverse Event Malfunction Summary report: N

COLONOVIDEOSCOPE

MDR report key: 23392553 · Received October 27, 2025

Report

Report Number
9610595-2025-27904
Event Type
Malfunction
Date Received
October 27, 2025
Report Date
October 27, 2025
Manufacturer
AIZU OLYMPUS CO., LTD.
Product Code
FDF
PMA / PMN Number
K222584
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NO
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS RETURNED TO OLYMPUS FOR INSPECTION, AND THE REPORTED FAILURE WAS NOT CONFIRMED. IN ADDITION, THE FOLLOWING REPORTABLE MALFUNCTIONS WERE IDENTIFIED DURING THE DEVICE EVALUATION: THERE WAS A SCOPE COMMUNICATION ERROR (E226), AND THE CONNECTING TUBE HAD CORROSION. A ROOT CAUSE COULD NOT BE IDENTIFIED. BASED ON THE RESULTS OF THE INVESTIGATION, IT IS LIKELY THE FOLLOWING LED TO THE MALFUNCTION: THE CAUSE OF THE SCOPE COMMUNICATION ERROR (E226) WAS TRACED TO A COMPONENT FAILURE (CORROSION ON PLUG UNIT). REGARDING THE CORROSION IN THE CONNECTING TUBE, THE CAUSE COULD NOT BE ESTABLISHED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE COLONOVIDEOSCOPE HAD A SCOPE COMMUNICATION ERROR (B30 ERROR). THERE WERE NO REPORTS OF PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2734102 COLONOVIDEOSCOPE COLONOVIDEOSCOPE FDF AIZU OLYMPUS CO., LTD. CF-HQ1100DI

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown