F88 URE-SD FLEXIBLE URETEROSCOPE
Report
- Report Number
- 3038613058-2025-00007
- Event Type
- Malfunction
- Date Received
- November 11, 2025
- Date of Event
- October 11, 2025
- Report Date
- December 11, 2025
- Manufacturer
- SG ENDOSCOPY PTE LTD
- Product Code
- FGB
- UDI-DI
- 08881300750091
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THIS FOLLOW-UP REPORT IS SUBMITTED TO PROVIDE THE RESULTS OF THE INVESTIGATION CONDUCTED ON THE SUBJECT DEVICE. THE REPORTED COMPLAINT WAS CONFIRMED. THE DEVICE FAILED THE MANUAL LEAK TEST, AND IMMERSION IN WATER VERIFIED THE PRESENCE OF A LEAK ORIGINATING FROM THE BENDING RUBBER NEAR THE DISTAL TIP. A VISUAL INSPECTION UNDER 10× MAGNIFICATION IDENTIFIED A SMALL INCISION MEASURING APPROXIMATELY 0.5 MM ON THE BENDING RUBBER. TO FACILITATE FURTHER EVALUATION, THE BENDING RUBBER WAS REMOVED. UPON REMOVAL, IT WAS OBSERVED THAT THE UNDERLYING BENDING SECTION SEGMENT LOCATED BENEATH THE INCISION HAD ROTATED OUT OF ITS INTENDED POSITION. THIS ROTATIONAL DISPLACEMENT CAUSED CERTAIN METALLIC COMPONENTS TO PROTRUDE OUTWARD. THE PROTRUSION WAS DETERMINED TO BE THE CAUSE OF THE BENDING RUBBER DAMAGE, RESULTING FROM INCREASED MECHANICAL STRESS DURING BENDING SECTION ARTICULATION AND REPETITIVE ABRASIVE CUTTING INTERACTION WITH THE RUBBER MATERIAL. A SEGMENT DISLOCATION OF THIS NATURE IS CONSIDERED HIGHLY UNLIKELY TO OCCUR UNDER NORMAL USE CONDITIONS. BASED ON THE AVAILABLE EVIDENCE, THE ROOT CAUSE OF THE ROTATIONAL DISLOCATION WAS ATTRIBUTED TO USER ERROR, SPECIFICALLY THE APPLICATION OF EXCESSIVE ROTATIONAL FORCE TO THE BENDING RUBBER OR DISTAL TIP DURING DEVICE MANIPULATION.
DESIGN HISTORY RECORDS REVIEW WAS PERFORMED, THERE WAS NO INFOMRATION THAT SUGGESTED THAT THE MANUFACTURING PROCESS HAD ANY RELATION TO THE REPORTED EVENT. THE DEVICE WAS MANUFACTURED, INSPECTED AND RELEASED IN ACCORDANCE WITH ESTABLISHED PROCEDURES AND ACCEPTANCE CRITERIA. DEVICE HAS BEEN RECEIVED AND INVESTIGATIONS ARE ONGOING. A FOLLOW-UP REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETED OR IF ADDITIONAL INFORMATION BECOMES AVAILABLE.
IT WAS REPORTED THAT THE SUBJECT DEVICE FAILED LEAK TEST DURING REPROCESSING. THERE WAS NO REPORTS OF PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1932631 | F88 URE-SD FLEXIBLE URETEROSCOPE | FLEXIBLE URETEROSCOPE | FGB | SG ENDOSCOPY PTE LTD | F88 | E/LOTFG-101736 | 08881300750091 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |