COLONOVIDEOSCOPE
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
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.
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 |