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