OLYMPUS ENDOSCOPES EDOSCOPES

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2010-03-08 for OLYMPUS ENDOSCOPES EDOSCOPES manufactured by Olympus Medical Systems Corporation.

Event Text Entries

[1434368] Olympus was informed that user facility personnel were performing manual cleaning of endoscopes, but not appropriately pre-cleaning, brushing or flushing the channels of the subject device, nor sufficiently rinsing following disinfection. Furthermore, the users at the facility were reportedly not soaking the entire endoscope into the disinfectant solution. To date, there have been no reports of adverse events associated with this report.
Patient Sequence No: 1, Text Type: D, B5


[8447247] No devices were returned to olympus for eval in association with this report. There was no allegation of any deficiencies in the product which may have caused or contributed to this report. Based upon the info provided, the users were not reprocessing the devices in accordance with the device instruction manual. An olympus endoscopy support specialist has provided in-service training and educational materials to the user facility staff on appropriate reprocessing of endoscopes. This report is being submitted as a medical device report in an abundance of caution.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number8010047-2010-00041
MDR Report Key1631235
Report Source05,06
Date Received2010-03-08
Date of Report2010-02-08
Date Mfgr Received2010-02-08
Date Added to Maude2011-03-16
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactLAURA STORMS-TYLER
Manufacturer Street2400 RINGWOOD AVE
Manufacturer CitySAN JOSE CA 95131
Manufacturer CountryUS
Manufacturer Postal95131
Manufacturer Phone4848965688
Manufacturer G1OLYMPUS MEDICAL SYSTEMS CORPORATION
Manufacturer Street22-2 NISHI-SHINJUKU SHINJUKU-KU, 1-CHOME
Manufacturer CityTOKYO 163-91
Manufacturer CountryJA
Manufacturer Postal Code163-91
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOLYMPUS ENDOSCOPES
Generic NameENDOSCOPES
Product CodeGDB
Date Received2010-03-08
Model NumberEDOSCOPES
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerOLYMPUS MEDICAL SYSTEMS CORPORATION
Manufacturer Address22-2 NISHI-SHINJUKU SHINJUKU-KU, 1-CHOME TOKYO 163-91 JA 163-91


Patients

Patient NumberTreatmentOutcomeDate
10 2010-03-08

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