BIOPSY FORCEPS, 7 FR., SEMIFLEXIBLE
Report
- Report Number
- 9610773-2025-08368
- Event Type
- Injury
- Date Received
- December 19, 2025
- Date of Event
- September 30, 2025
- Report Date
- February 25, 2026
- Manufacturer
- OLYMPUS WINTER & IBE GMBH
- Product Code
- NWW
- UDI-DI
- 04042761006958
- PMA / PMN Number
- 510(K) EXEMP
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
THIS REPORT IS BEING SUPPLEMENTED TO PROVIDE ADDITIONAL INFORMATION BASED ON THE APPROVED FINAL INVESTIGATION. BASED ON THE RESULTS OF THE INVESTIGATION, AND SINCE THE DEVICE WAS NOT RETURNED FOR EVALUATION, THE DEFINITIVE ROOT CAUSE OF THE REPORTED ISSUE COULD NOT BE DETERMINED. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.
THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETED OR IF ADDITIONAL INFORMATION BECOMES AVAILABLE.
NO ADDITIONAL INFORMATION WAS RECEIVED FROM THE CUSTOMER.
IT WAS REPORTED THAT FIVE BIOPSY FORCEPS WERE DAMAGED ALL DUE TO THE FRACTURE OF THE FIXING PINS OF THE FORCEPS HEAD DURING AN UNSPECIFIED PROCEDURE. THE FIXING PIN OF THE FORCEPS HEAD FELL INTO THE PATIENT'S UTERINE CAVITY. THE FALLEN PART WAS RETRIEVED. THERE WERE NO REPORTS OF PATIENT HARM. THE REQUESTED ADDITIONAL INFORMATION FROM THE CUSTOMER IS CURRENTLY PENDING. THIS IS REPORT 4 OF 5.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2243380 | BIOPSY FORCEPS, 7 FR., SEMIFLEXIBLE | A4832 | NWW | OLYMPUS WINTER & IBE GMBH | A4832 | 04042761006958 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |