OLYMPUS OES CYSTONEPHROFIBERSCOPE CYF-5

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 2013-01-07 for OLYMPUS OES CYSTONEPHROFIBERSCOPE CYF-5 manufactured by Olympus Medical Systems Corporation.

Event Text Entries

[20636075] Olympus was informed during an in-service that the user facility was omitting all of the pre-cleaning steps, not leak testing all of the time, not using enzymatic cleaning solution, not properly storing the endoscopes, and was not brushing of the scope channel during reprocessing. There were no reports of any pt infections or other adverse impacts to pts as a result of this matter.
Patient Sequence No: 1, Text Type: D, B5


[20867974] The device reference was not returned to olympus for eval. The users were reportedly high level disinfecting the endoscopes by soaking the endoscopes manually. An olympus endoscope support specialist has provided in-service training to users at this facility and reviewed appropriate reprocessing of this device.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number8010047-2013-00004
MDR Report Key2913606
Report Source06,07
Date Received2013-01-07
Date of Report2012-12-10
Date Mfgr Received2012-12-10
Date Added to Maude2013-02-01
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 Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOLYMPUS OES CYSTONEPHROFIBERSCOPE
Generic NameCYSTOSCOPE
Product CodeGCQ
Date Received2013-01-07
Model NumberCYF-5
Catalog NumberCYF-5
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 2013-01-07

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