FDA Adverse Event Malfunction Summary report: N

RHINO-LARYNGO VIDEOSCOPE

MDR report key: 25186770 · Received May 15, 2026

Report

Report Number
3002808148-2026-16257
Event Type
Malfunction
Date Received
May 15, 2026
Date of Event
January 20, 2026
Report Date
May 15, 2026
Manufacturer
SHIRAKAWA OLYMPUS CO., LTD.
Product Code
EOB
PMA / PMN Number
K221638
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS RETURNED TO OLYMPUS FOR INSPECTION. A ROOT CAUSE COULD NOT BE IDENTIFIED. BASED ON THE RESULTS OF THE INVESTIGATION, IT IS LIKELY THE FOLLOWING LED TO THE MALFUNCTION: UNIVERSAL CORD IS STICKY AND LIGHT GUIDE COVER GLASS HAS CORROSION. 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 OBSERVED THAT DURING THE DEVICE EVALUATION, THE RHINO LARYNGO VIDEOSCOPE EXHIBITED CORROSION ON LIGHT GUIDE COVER AND STICKY UNIVERSAL CORD. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
82783 RHINO-LARYNGO VIDEOSCOPE RHINO-LARYNGO VIDEOSCOPE EOB SHIRAKAWA OLYMPUS CO., LTD. ENF-VH

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown