Correction: d8 was inadvertently omitted from the initial report.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, the root cause of the event was unable to be identified.Based on the damage pattern, it is likely that the damage to the insulation insert was induced thermally and/or mechanically.Therefore, it is most likely attributable to wear and tear and/or improper handling by the customer (more specifically the device being subjected to mechanical overload, impact, accidental dropping, etc.).Pre-existing damage to the insulation insert or if it was already worn is unable to be determined.Furthermore, it cannot be determined if the damage was caused during the last reprocessing of the instrument or during its last use in a procedure.The event can be detected/prevented by following the instructions for use which state: ¿4 before use: warning.Infection control risk.Properly reprocess the product before first and each subsequent use following the instructions in this manual and in the system guide endoscopy.Improper and/or incomplete reprocessing can cause infection of the patient and/or medical personnel.4.1 inspection and testing.Inspecting the product.Visually inspect the product.Make sure that it has: no corrosion.No dents.No scratches.Ceramic insulation at distal end.Visually inspect the ceramic insulation at the sheath¿s distal end before each use.Do not use the instrument in case of damage (e.G.Cracks, fractures).Warning.Risk of injury.Impact, fall, shock or similar stress can damage the ceramic insulation at the sheath¿s distal end.Damaged instruments can cause injuries to the patient and/or user.Do not use the instrument if damaged.Damaged product.If the product is damaged or does not function properly, contact an olympus representative or an authorized service center.¿.Olympus will continue to monitor field performance for this device.
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