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Model Number OER-AW |
Device Problem
Device Reprocessing Problem (1091)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Type
malfunction
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Event Description
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The customer reported to olympus, that the olympus endoscope reprocessor (oer) was used to improperly reprocess devices with an expired water filter.The water filter had not been changed since 2021, subsequently leading to the mismanagement of replacing the water filter in accordance with the instructions for use.There were no reports of patient harm, injury, or infection.Related patient identifiers: (b)(6).
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Manufacturer Narrative
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Additional information received from the customer confirmed that a third party company provided maintenance service to the hospital's equipment.The device was not returned to olympus for evaluation.The investigation is ongoing, a supplemental report will be submitted upon completion of the investigation or if any additional information is provided by the user facility.
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Manufacturer Narrative
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This report is being supplemented to provide additional information based on the legal manufacturer's final investigation.A review of the device history record found no deviations that could have caused or contributed to the reported issue.Based on the results of the investigation, as the device was not returned, the root cause of the reported event is unable to be determined.However, it is presumable the reported event is due to the user did not read instructions for use (ifu) thoroughly, used the water filter after replacement limit period expired by management error for replacement.The event can be prevented by following the instructions for use (ifu) section which state: chapter 7 routine maintenance.7.2 replacing the water filter (maj-824).Replace the water filter at least once a month to prevent contamination of the rinse water.The water filter should also be replaced whenever an error code indicating water supply insufficiency [e01] is displayed.The water filter should be replaced by following the flow shown below.Olympus will continue to monitor field performance for this device.
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Search Alerts/Recalls
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