FDA Adverse Event Injury Summary report: N

SINGLE USE 3-LUMEN SPHINCTEROTOME V

MDR report key: 23720510 · Received December 4, 2025

Report

Report Number
9614641-2025-02008
Event Type
Injury
Date Received
December 4, 2025
Date of Event
May 7, 2020
Report Date
December 26, 2025
Manufacturer
AOMORI OLYMPUS CO., LTD.
Product Code
KNS
UDI-DI
04953170184055
PMA / PMN Number
K950166
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THIS REPORT IS BEING SUPPLEMENTED TO PROVIDE ADDITIONAL INFORMATION BASED ON THE APPROVED FINAL INVESTIGATION. UPDATED FIELDS: H6 AND H11. THE DEVICE HAS NOT BEEN RETURNED TO OLYMPUS FOR EVALUATION. BASED ON THE RESULTS OF THE INVESTIGATION, THE RELATIONSHIP BETWEEN THE DEVICE AND THE ADVERSE EVENT CANNOT BE CONFIRMED. THERE IS NO EVIDENCE OF AN OLYMPUS DEVICE MALFUNCTION. THEREFORE, THE ROOT CAUSE CANNOT BE DETERMINED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.

Additional Manufacturer Narrative · 0

E1 - INITIAL REPORTER ESTABLISHMENT NAME: (B)(6). THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETED OR IF ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem · 0

NO ADDITIONAL INFORMATION RECEIVED FROM THE AUTHOR.

Description of Event or Problem · 0

OLYMPUS REVIEWED THE FOLLOWING LITERATURE TITLED ¿IMPACT OF A NOVEL OBLIQUE-TIP PAPILLOTOME FOR BILIARY CANNULATION DURING ERCP: A NONRANDOMIZED COARSENED EXACT MATCHING STUDY¿. BACKGROUND. WE DEVELOPED A NOVEL OBLIQUE-TIP PAPILLOTOME (OT-PAPILLOTOME) TO FACILITATE BILIARY CANNULATION DURING ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP). THIS STUDY WAS PERFORMED TO EVALUATE THE UTILITY OF THE OT-PAPILLOTOME FOR CONTRAST-GUIDED CANNULATION (CGC) AND WIRE-GUIDED CANNULATION (WGC) DURING ERCP, COMPARED WITH STANDARD CANNULATION BY WGC USING A STANDARD-TIP PAPILLOTOME (ST-PAPILLOTOME). METHODS. A PROSPECTIVE STUDY WAS PERFORMED AT TWO CENTERS. CGC WITH THE OT-PAPILLOTOME (OT-CGC GROUP) WAS PERFORMED AT (B)(6) HOSPITAL, WHILE WGC WAS DONE WITH THE OT-PAPILLOTOME AND ST-PAPILLOTOME (OT-WGC AND ST-WGC GROUPS, RESPECTIVELY) AT THE UNIVERSITY OF MALAYA MEDICAL CENTRE. THE RESULTS OF THE OT-CGC AND OT-WGC GROUPS WERE COMPARED WITH THOSE OF THE ST-WGC GROUP AFTER PERFORMING COARSENED EXACT MATCHING (CEM) TO REDUCE BIAS DUE TO NONRANDOMIZED AND CENTER-BASED PATIENT ALLOCATION. RESULTS. EIGHTY PATIENTS WERE ENROLLED IN EACH OF THE OT-CGC, OT-WGC, AND ST-WGC GROUPS. AFTER CEM, THE SUCCESSFUL BILIARY CANNULATION RATE WAS SIGNIFICANTLY HIGHER IN THE OT-CGC AND OT-WGC GROUPS THAN IN THE ST-WGC GROUP, WHILE RESCUE CANNULATION WAS REDUCED. THE MEAN NUMBER OF UNINTENDED PANCREATIC ACCESS EVENTS IN THE OT-WGC AND OT-CGC GROUPS WAS SIMILAR TO THE ST-WGC GROUP. HOWEVER, IT WAS SIGNIFICANTLY LOWER IN THE OT-WGC GROUP THAN IN THE OT-CGC GROUP. MULTIVARIATE ANALYSIS REVEALED THAT THE OT-PAPILLOTOME WAS INDEPENDENTLY ASSOCIATED WITH LESS FREQUENT RESCUE CANNULATION AND A HIGHER SUCCESSFUL BILIARY CANNULATION RATE. CONCLUSIONS. ALTHOUGH USE OF THE OT-PAPILLOTOME IN BILIARY CANNULATION DID NOT REDUCE UNINTENDED PANCREATIC ACCESS EVENTS OR PEP COMPARED TO THE ST-PAPILLOTOME, THE OT-PAPILLOTOME INCREASED THE SUCCESSFUL BILIARY CANNULATION RATE, WHILE REDUCING THE FREQUENCY OF RESCUE CANNULATION PROCEDURES. COMBINING THE OT-PAPILLOTOME WITH WGC MIGHT BE THE BEST CANNULATION TECHNIQUE FOR MINIMIZING UNINTENDED PANCREATIC ACCESS. TYPE OF ADVERSE EVENTS/NUMBER OF PATIENTS POST-ERCP PANCREATITIS (PEP) (13 PATIENT). THERE WAS NO ALLEGATION OF DEVICE MALFUNCTION IDENTIFIED IN THE ARTICLE. THIS REPORT IS 4 OF 4.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
131715 SINGLE USE 3-LUMEN SPHINCTEROTOME V SINGLE USE 2-LUMEN SPHINCTEROTOME KNS AOMORI OLYMPUS CO., LTD. KD-V411M-0730 NI 04953170184055

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown TJF-Q180V DUODENOVIDEOSCOPE