ENDOEYE FLEX 3D DEFLECTABLE VIDEOSCOPE LTF-190-10-3D

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-11-09 for ENDOEYE FLEX 3D DEFLECTABLE VIDEOSCOPE LTF-190-10-3D manufactured by Olympus Medical Systems Corp..

Event Text Entries

[91827704] The subject device has not been returned to olympus medical systems corp(omsc). Omsc could not review the service and manufacturing record because the serial number were not provided from the facility. There was no malfunction report of the subject device concerning this case. The exact cause could not be determined.
Patient Sequence No: 1, Text Type: N, H10


[91827705] On october 12, 2017, olympus medical systems corp (omsc) received a literature titled? Study in treatment results after laparoscopic rectal resection using 3d endoscope system? That was made in public in (b)(6) digestive disease week in (b)(6) 2017. The literature reported the study result of 24 cases between august 2014 and december 2016 compared with the result before introducing the olympus 3d endoscope system to the facility. The literature reported that complications after the surgery using the 3d endoscope were wound infection (one case), anastomotic leakage (one case) and paralytic ileus (two cases). Complications of surgery using normal endoscope were wound infection (two cases) and anastomotic (six cases). In conclusion, the literature stated that the rectal resection using the 3d endoscope system possibly bring improvements in accuracy in the procedure less invasive results to the operator and the system is very useful device especially for young surgeons. Omsc review the sales history record for the facility and confirmed olympus ltf-s190-10 possibly used in the procedures. This is one of four reports.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8010047-2017-01707
MDR Report Key7016568
Date Received2017-11-09
Date of Report2017-11-10
Date Mfgr Received2017-10-12
Date Added to Maude2017-11-09
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 FDA3
Event Location3
Manufacturer ContactMR KATSUAKI MORITA
Manufacturer Street2951 ISHIKAWA-CHO
Manufacturer CityHACHIOJI-SHI, TOKYO-TO 192-8507
Manufacturer CountryJA
Manufacturer Postal192-8507
Manufacturer Phone426425177
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameENDOEYE FLEX 3D DEFLECTABLE VIDEOSCOPE
Generic NameFLEX 3D DEFLECTABLE VIDEOSCOPE
Product CodeNWB
Date Received2017-11-09
Model NumberLTF-190-10-3D
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerOLYMPUS MEDICAL SYSTEMS CORP.
Manufacturer Address2951 ISHIKAWA-CHO HACHIOJI-SHI, TOKYO-TO 192-8507 JA 192-8507


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-11-09

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