OLYMPUS ENDOSCOPES UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 06 report with the FDA on 2012-06-01 for OLYMPUS ENDOSCOPES UNK manufactured by Olympus Medical Systems Corporation.

Event Text Entries

[2789762] Olympus was informed that the user facility was not reprocessing their endoscopes in accordance with the directions for use. The users were reportedly not performing bedside cleaning immediately after each procedures, and not fully immersing the scope in the disinfectant solution. There were no reports of any pt infections or cross contamination.
Patient Sequence No: 1, Text Type: D, B5


[9829636] There was no device returned to olympus for evaluation. Based upon the info provided, the user facility was not reprocessing their endoscopes in accordance to the instructions for use. The user facility had not been reprocessing the endoscopes in an automated endoscope preprocessor (aer) but the user facility was reportedly soaking their endoscopes in (b)(4), but the endoscope was not entirely immersed in the disinfectant solution due to the cylinder they used. An olympus endoscope support specialist (ess) has visited the user facility and provided in-service training to the user facility personnel regarding the appropriate reprocessing, transport and storage of endoscope. The ess has also provided the user facility reprocessing educational materials for additional references. 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 Number8010047-2012-00170
MDR Report Key2598677
Report Source06
Date Received2012-06-01
Date of Report2012-05-03
Date Mfgr Received2012-05-03
Date Added to Maude2012-06-15
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 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 Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOLYMPUS ENDOSCOPES
Generic NameENDOSCOPES
Product CodeGDB
Date Received2012-06-01
Model NumberENDOSCOPES
Catalog NumberUNK
Lot 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 2012-06-01

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