Model Number 61254BX |
Device Problem
Break (1069)
|
Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
|
Event Date 03/30/2023 |
Event Type
Injury
|
Manufacturer Narrative
|
The device has been returned to olympus, however, an evaluation has not been completed at this time.The investigation is ongoing.A supplemental report will be submitted upon completion of the investigation or when additional information becomes available.
|
|
Event Description
|
The customer reported to olympus that during therapeutic cystoscopy, ureteroscopy and laser stone, the tip of the uropass sheath broke inside the patient.The bits were fished out of the bladder.The procedure was delayed for five minutes and completed with a different size access sheath.The device was an expired item.The device was inspected before use but did not notice it was expired until they had to "riskman" the incident.There were no reports of patient or user harm associated with this event.
|
|
Manufacturer Narrative
|
This report is being supplemented to provide additional information based on the legal manufacturer's final investigation and device evaluation.The device was returned to olympus for inspection, and the customer¿s reported complaint was confirmed.A review of the device history record found no deviations that could have caused or contributed to the reported issue.It has been more than 6 years since the subject device was manufactured.Based on the results of the investigation, the dilator was observed to be very brittle and was broken even with careful handling.However, it was determined that the device was expired when used by the customer.This supplemental report includes a correction to g2 and h3.Also, additional information has been added to h4.Olympus will continue to monitor field performance for this device.
|
|
Manufacturer Narrative
|
The initial medwatch incorrectly reported the site registration number.The site registration number is 3011050570.
|
|
Search Alerts/Recalls
|