OLYMPUS ENDOSCOPES UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06,07 report with the FDA on 2011-12-08 for OLYMPUS ENDOSCOPES UNKNOWN manufactured by Olympus Medical Systems Corporation.

Event Text Entries

[20220778] Olympus was informed that the user facility was not reprocessing the endoscopes in accordance with the directions for use. The user facility personnel were reportedly not performing any of the pre-cleaning steps, and was not leak testing. Additionally, the user facility reportedly was not using the suction cleaning adaptor and would reuse single-use cleaning brushes. The user facility reportedly was not using the channel opening brush and was not reprocessing the auxiliary water tube which reportedly was used in patient procedures for over one year without being reprocessed. The user facility reportedly did not have automated endoscope reprocessors on site with reprocessing performed only manually. There had been no report of infection and cross contamination.
Patient Sequence No: 1, Text Type: D, B5


[20591552] An olympus endoscopy support specialist has visited this facility and provided in-service training and educational materials regarding the appropriate reprocessing of endoscopes. No products were returned to olympus for evaluation. If additional and significant information becomes available at a later time, then this report will be supplemented. Olympus instruction and reprocessing manuals provide detailed information on how to reprocess 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 Number8010047-2011-00309
MDR Report Key2371695
Report Source06,07
Date Received2011-12-08
Date of Report2011-11-09
Date of Event2011-11-09
Date Mfgr Received2011-11-09
Date Added to Maude2012-05-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactLAURA STORMS-TYLER
Manufacturer Street2400 RINGWOOD AVENUE
Manufacturer CitySAN JOSE CA 95131
Manufacturer CountryUS
Manufacturer Postal95131
Manufacturer Phone4848965688
Manufacturer G1OLYMPUS MEDICAL SYSTEMS CORPORATION
Manufacturer Street2951 ISHIKAWA-CHO
Manufacturer CityHACHIOJI-SHI, TOKYO 192-8507
Manufacturer CountryJA
Manufacturer Postal Code192-8507
Single Use0
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOLYMPUS ENDOSCOPES
Generic NameENDOSCOPE
Product CodeGDB
Date Received2011-12-08
Model NumberUNKNOWN
Catalog NumberUNKNOWN
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerOLYMPUS MEDICAL SYSTEMS CORPORATION
Manufacturer Address2951 ISHIKAWA-CHO HACHIOJI-SHI, TOKYO 192-8507 JA 192-8507


Patients

Patient NumberTreatmentOutcomeDate
10 2011-12-08

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