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 |