OLYMPUS ENDOSCOPE REPROCESSOR OER-PRO UNK

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 2012-02-03 for OLYMPUS ENDOSCOPE REPROCESSOR OER-PRO UNK manufactured by Olympus Medical Systems Corporation.

Event Text Entries

[2525249] Olympus was informed that the subject device emitted a burning odor and displayed an e11 error code. There was no adverse implant to pts or users.
Patient Sequence No: 1, Text Type: D, B5


[9634731] Olympus followed up with the user facility to obtain add'l info regarding this report. The user facility reported that there was no arcing, sparking and open flame observed, only a burning odor. There was no adverse impacts to any pts or users reported. An olympus field service engineer (fse) visited the user facility and facility and evaluated the reprocessor. During the eval, thermal damage was noted to the cpu printed circuit board (pcb). The fse replaced the cpu, however the replacement cpu pcb also emitted a burning odor when a reprocessing cycle was initiated. The cpu board and pump unit were replaced, and the unit operated appropriately. The two cpu pcbs and the pump unit were returned to olympus for eval. The eval found components on both of the cpu boards with evidence of thermal damage. The resistance of the pump unit was measured at 0. 2 ohms which was significantly lower than the normal resistance reading indicating a short within the pump causing excessive current flow on the cpu pcb. The pump unit was inadvertently discarded, however the cpu pcbs have been forwarded to the original equipment mfr (oem) for further eval. This report is being submitted as an mdr in an abundance of caution.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number8010047-2012-00027
MDR Report Key2462876
Report Source06,07
Date Received2012-02-03
Date of Report2012-01-05
Date of Event2012-01-05
Date Mfgr Received2012-01-05
Date Added to Maude2012-05-23
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 HACHIOJI-SHI
Manufacturer CityTOKYO 192-8507
Manufacturer CountryJA
Manufacturer Postal Code192-8507
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOLYMPUS ENDOSCOPE REPROCESSOR
Generic NameENDOSCOPE REPROCESSOR
Product CodeFAM
Date Received2012-02-03
Model NumberOER-PRO
Catalog NumberUNK
Lot NumberNA
ID NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerOLYMPUS MEDICAL SYSTEMS CORPORATION
Manufacturer Address2951 ISHIKAWA-CHO TOKYO 192-8507 JA 192-8507


Patients

Patient NumberTreatmentOutcomeDate
10 2012-02-03

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