FDA Adverse Event Other Summary report: N

EVIS EXERA II GASTROINTESTINAL VIDEOSCOPE

MDR report key: 2598658 · Received June 2, 2012

Report

Report Number
8010047-2012-00174
Event Type
Other
Date Received
June 2, 2012
Report Date
May 4, 2012
Manufacturer
OLYMPUS MEDICAL SYSTEMS CORPORATION
Product Code
GCK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE REFERENCE WAS NOT RETURNED TO OLYMPUS FOR EVALUATION. AN OLYMPUS ENDOSCOPY SUPPORT SPECIALIST HAS VISITED THIS FACILITY AND PROVIDED IN-SERVICE TRAINING REGARDING THE APPROPRIATE REPROCESSING OF ENDOSCOPES. IF ADDITIONAL AND SIGNIFICANT INFO BECOMES AVAILABLE AT A LATER TIME, THEN THIS REPORT WILL BE SUPPLEMENTED. OLYMPUS INSTRUCTIONS AND REPROCESSING MANUALS PROVIDE DETAILED INFO ON HOW TO REPROCESS ENDOSCOPES. THIS REPORT IS BEING SUBMITTED AS A MEDICAL DEVICE REPORT IN AN ABUNDANCE OF CAUTION.

Description of Event or Problem · 1

OLYMPUS WAS INFORMED THAT THE USER FACILITY WAS NOT BRUSHING THE SCOPE CHANNELS CONSISTENTLY. ADDITIONALLY, THE USER FACILITY REPORTEDLY WAS NOT PERFORMING PRECLEANING, AND NOT ALL STEPS IN THE LEAK TESTING PROCESS WAS BEING PERFORMED. THE USER FACILITY WAS ALSO SAID TO HAVE REUSED AND REPROCESSED THE OLYMPUS BW-201T SINGLE USE CLEANING BRUSH. THERE HAD BEEN NO REPORT OF INFECTION AND CROSS CONTAMINATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 EVIS EXERA II GASTROINTESTINAL VIDEOSCOPE GASTROSCOPE GCK OLYMPUS MEDICAL SYSTEMS CORPORATION GIF-H180J NA

Patients

Seq Age Sex Outcome Treatment
1