FDA Adverse Event Injury Summary report: N

BIOPSY FORCEPS, 7 FR., SEMIFLEXIBLE

MDR report key: 23852042 · Received December 19, 2025

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

Additional Manufacturer Narrative · 0

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.

Additional Manufacturer Narrative · 0

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 WAS RECEIVED FROM THE CUSTOMER.

Description of Event or Problem · 0

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