EVIS EXERA II ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2018-04-18 for EVIS EXERA II ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F manufactured by Olympus Medical Systems Corp..

Event Text Entries

[105876432] The scope was returned to olympus for evaluation; however, the device evaluation is still in progress and pending results. The scopes will be sent to an independent laboratory for microbial testing and eto sterilization. As part of our investigation, an olympus endoscopy support specialist (ess) was requested to be dispatched to the user facility to observe the facility? S reprocessing practice and to provide a reprocessing training. To date, the ess visit has not been finalized. This report will be supplemented when the device evaluation has been completed.
Patient Sequence No: 1, Text Type: N, H10


[105876433] Olympus was informed by the user facility that an unspecified number of patient bronchoalveolar lavage (bal) washings tested (b)(6) for (b)(6) involving three different olympus bronchoscopes. The patients are fine and have been discharged. It was further reported that the scopes were not cultured. The scopes are pre-cleaned after each procedure in the or. It is then manually cleaned and the channels of the scopes are brushed using a non-olympus halyard single use dual-ended cleaning brush. The scopes are leak tested using an olympus leak tester. The scopes are reprocessed in a non-olympus steris 1e automated endoscope reprocessor (aer) machine. The last preventative maintenance on the aer machine was (b)(6) 2018. No problems reported with the aer machine. The scopes are hung in a ventilated scope cabinet. In addition, it was reported that all of the reprocessing staff are properly trained in reprocessing scopes. This is report 1 of 3.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2951238-2018-00249
MDR Report Key7442055
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2018-04-18
Date of Report2018-07-03
Date of Event2018-03-26
Date Mfgr Received2018-06-15
Date Added to Maude2018-04-18
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 ContactMS. CONNIE TUBERA
Manufacturer Street2400 RINGWOOD AVENUE
Manufacturer CitySAN JOSE CA 95131
Manufacturer CountryUS
Manufacturer Postal95131
Manufacturer Phone408935-512
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameEVIS EXERA II ULTRASONIC BRONCHOFIBERVIDEOSCOPE
Generic NameULTRASONIC BRONCHOFIBERVIDEOSCOPE
Product CodePSV
Date Received2018-04-18
Returned To Mfg2018-04-03
Model NumberBF-UC180F
Catalog NumberBF-UC180F
Lot NumberN/A
ID Number#N/A
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerOLYMPUS MEDICAL SYSTEMS CORP.
Manufacturer Address2951 ISHIKAWA-CHO HACHIOJI-SHI, TOKYO-TO US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-04-18

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