FDA Adverse Event
Malfunction
Summary report: N
RHINO-LARYNGO VIDEOSCOPE
MDR report key: 25244456
·
Received May 21, 2026
Report
- Report Number
- 3002808148-2026-17321
- Event Type
- Malfunction
- Date Received
- May 21, 2026
- Date of Event
- March 20, 2026
- Report Date
- May 21, 2026
- Manufacturer
- SHIRAKAWA OLYMPUS CO., LTD.
- Product Code
- EOB
- PMA / PMN Number
- K061313
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
THE DEVICE WAS RETURNED TO OLYMPUS FOR INSPECTION. BASED ON THE RESULTS OF THE INVESTIGATION, A DEFINITIVE ROOT CAUSE OF THE DISTAL END COVER AND THE SWITCH COVER HAVING ADHESIVE RESIDUE WAS UNABLE TO BE IDENTIFIED. 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 RHINOLARYNGO VIDEOSCOPE EXHIBITED THAT THE DISTAL END COVER HAD ADHESIVE RESIDUE, AND THE SWITCH COVER HAD ADHESIVE RESIDUE, TOO. THERE WAS NO PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 367290 | RHINO-LARYNGO VIDEOSCOPE | RHINO-LARYNGO VIDEOSCOPE | EOB | SHIRAKAWA OLYMPUS CO., LTD. | ENF-VT2 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |