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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: OLYMPUS WINTER & IBE GMBH HF-CABLE, BIPOLAR; HF-CABLES

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OLYMPUS WINTER & IBE GMBH HF-CABLE, BIPOLAR; HF-CABLES Back to Search Results
Model Number WA00014A
Device Problem Break (1069)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/14/2022
Event Type  malfunction  
Event Description
Olympus was informed that during a therapeutic hysteroscopic resection procedure, the hf-cable broke and issued an error message on the generator.The intended procedure was successfully completed with a similar cable and there was no report about an adverse event or patient injury.
 
Manufacturer Narrative
The suspect medical device was not returned to the manufacturer for evaluation/investigation since it was reportedly discarded.Therefore, the evaluation was performed exclusively on the basis of the available information.Therefore, the cause of the reported event could not be conclusively determined.The reported issue is a known fault pattern which was evaluated as plausible.It is assumed that wear and tear in connection with a repeated tensile/bending load caused single or all wires inside the cable to break.According to the article¿s lot number, the hf cable was manufactured in may 2018.It therefore must be assumed that the hf cable was used longer than the 12 months the cable is designed for.Thus, this event/incident can most likely be attributed to age-related wear and tear in connection with improper handling by the customer and thus to use error.A material or quality problem can be excluded since a manufacturing and quality control review was performed for the affected lot number of the hf cable without showing any abnormalities.The case will be closed on olympus side with no further actions.However, the reported event/incident will be recorded for trending and surveillance purposes and the user will be informed about the investigation results.
 
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Brand Name
HF-CABLE, BIPOLAR
Type of Device
HF-CABLES
Manufacturer (Section D)
OLYMPUS WINTER & IBE GMBH
kuehnstrasse 61
hamburg, hamburg 22045
GM  22045
Manufacturer (Section G)
MED CONTACT GMBH
kornbühlstr. 100-102
salmendingen 72393
GM   72393
Manufacturer Contact
daniel wladow
kuehnstrasse 61
hamburg 22045
GM   22045
4940669662
MDR Report Key16022746
MDR Text Key308555508
Report Number9610773-2022-00709
Device Sequence Number1
Product Code FAS
Combination Product (y/n)N
Reporter Country CodeCH
PMA/PMN Number
K120418
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type User Facility,Company Representative,Distributor
Reporter Occupation Other
Type of Report Initial
Report Date 12/21/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/21/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberWA00014A
Device Catalogue NumberWA00014A
Device Lot Number185W
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received11/24/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured05/01/2018
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient SexFemale
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