FDA Adverse Event Malfunction Summary report: N

VIDEO TELESCOPE "ENDOEYE HD II", 10 MM, 30°, AUTOCLAVABLE

MDR report key: 24331862 · Received February 13, 2026

Report

Report Number
9610773-2026-01030
Event Type
Malfunction
Date Received
February 13, 2026
Date of Event
January 17, 2026
Report Date
February 13, 2026
Manufacturer
OLYMPUS WINTER & IBE GMBH
Product Code
HET
UDI-DI
04042761074971
PMA / PMN Number
K190744
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS RETURNED TO OLYMPUS FOR INSPECTION, AND THE REPORTED FAILURE WAS CONFIRMED. IN ADDITION, THE FOLLOWING REPORTABLE MALFUNCTIONS WERE IDENTIFIED DURING THE DEVICE EVALUATION: THE IMAGE WAS NOT DISPLAYED, THE FIBER BONDING IN THE OUTER TUBE AREA (DISTAL END) WAS DAMAGED. A DEFINITIVE ROOT CAUSE COULD NOT BE IDENTIFIED. BASED ON THE RESULTS OF THE INVESTIGATION, THE MOST PROBABLE CAUSE OF THE REPORTED ISSUE AND LOSS OF IMAGE WAS TRACED TO A BROKEN VIDEO CABLE. ADDITIONALLY, THE PROBABLE CAUSE OF THE BROKEN FIBER BONDING IN THE DISTAL END OUTER TUBE AREA WAS ATTRIBUTED TO COMPONENT FAILURE. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE GYNECOLOGIC LAPAROSCOPE HAD FLICKERING IMAGE. THE EVENT OCCURRED DURING LAPAROSCOPIC ASSISTED RIGHT HEMICOLECTOMY THERAPEUTIC PROCEDURE WHILE THE PATIENT WAS UNDER SEDATION AND DEVICE WAS INSIDE THE PATIENT. THE PROCEDURE WAS COMPLETED WITH THE SIMILAR DEVICE. THERE WERE NO REPORTS OF PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
395099 VIDEO TELESCOPE "ENDOEYE HD II", 10 MM, 30°, AUTOCLAVABLE LAPAROSCOPE, GYNECOLOGIC HET OLYMPUS WINTER & IBE GMBH WA50042A 04042761074971

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown