FDA Adverse Event Injury Summary report: N

OLYMPUS COLONOSCOPE

MDR report key: 25175675 · Received May 14, 2026

Report

Report Number
MW5188265
Event Type
Injury
Date Received
May 14, 2026
Date of Event
May 6, 2026
Report Date
May 12, 2026
Manufacturer
OLYMPUS AIZU OLYMPUS CO., LTD.
Product Code
FDF
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

DURING A SCHEDULED COLONOSCOPY, THE MD WAS HAVING DIFFICULTY ADVANCING THE COLONOSCOPE. AFTER A FEW MINUTES OF ATTEMPTING TO ADVANCE THE SCOPE, THE PROVIDER REMOVED THE SCOPE TO REVEAL THAT THE SCOPE HAD BROKEN AND HAD EXPOSED WIRES. THIS RESULTED IN TISSUE DAMAGE AND PERFORATION OF SIGMOID, REQUIRING PATIENT TO UNDERGO SIGMOID COLECTOMY WITH COLOSTOMY CREATION. PRE-OP DIAGNOSIS OF SMALL DUODENAL ULCER, COLONOSCOPY PERFORMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
247392 OLYMPUS COLONOSCOPE COLONOSCOPE AND ACCESSORIES, FLEXIBLE/RIGID FDF OLYMPUS AIZU OLYMPUS CO., LTD. CF-HQ190L

Patients

Seq Age Sex Outcome Treatment
1 57 YR Male Hospitalization| R