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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: OLYMPUS MEDICAL SYSTEMS CORP. OER-4 100V; ENDOSCOPE REPROCESSOR

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OLYMPUS MEDICAL SYSTEMS CORP. OER-4 100V; ENDOSCOPE REPROCESSOR Back to Search Results
Model Number OER-4
Device Problem Device Displays Incorrect Message (2591)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 07/09/2020
Event Type  malfunction  
Manufacturer Narrative
The subject device in this report has not been returned to omsc for evaluation, however the corroded detergent sensor was returned.The exact cause has been under investigation, therefore the exact cause of the reported event could not be conclusively determined at this time.If additional information becomes available, this report will be supplemented.
 
Event Description
Olympus medical systems corp.(omsc) was informed that during an unspecified timing, even though the detergent was supplied into the reprocessing basin of the subject device, the detergent replacement indicator of the subject device blinked.The field service engineer visited to the facility and confirmed that the detergent sensor of the subject device was corroded, and replaced the corroded sensor to new one for repair.There was no report of patient injury associated with the event.
 
Manufacturer Narrative
This supplemental report is being submitted to provide additional information.The detergent sensor of the subject device was returned to olympus medical systems corp.(omsc) for evaluation.Omsc installed the detergent sensor in the oer-4 owned by omsc, and investigated the detergent sensor.In the evaluation of omsc the following was confirmed; the phenomenon was reproduced.A small amount of detergent residue was attached to the surface of the detergent sensor.The space between the connector and the harness of the detergent sensor turned blue.There was no leakage of the detergent sensor.During the investigation, the component inside of the detergent sensor became activated, due to the diffluence of the adhered detergent.Omsc reviewed, the manufacturing history (dhr) of the subject device and confirmed no irregularity.The cause is presumed to be as follows: the detergent had leaked.Then the subject oer-4 was not used over a certain period.Consequently, the detergent remained in the sensor was stuck.Then it might cause the reported phenomenon.But the exact cause of the reported event could not be conclusively determined.If additional information becomes available, this report will be supplemented.
 
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Brand Name
OER-4 100V
Type of Device
ENDOSCOPE REPROCESSOR
Manufacturer (Section D)
OLYMPUS MEDICAL SYSTEMS CORP.
2951 ishikawa-cho
hachioji-shi, tokyo-to 192-8 507
JA  192-8507
MDR Report Key10354159
MDR Text Key223654022
Report Number8010047-2020-05118
Device Sequence Number1
Product Code FEB
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Type of Report Initial,Followup
Report Date 10/27/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/02/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberOER-4
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received09/28/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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