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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: OLYMPUS WINTER & IBE GMBH HF-CABLE, MONOPOLAR, 4 M, UES-30/-40,; HF CABLE

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OLYMPUS WINTER & IBE GMBH HF-CABLE, MONOPOLAR, 4 M, UES-30/-40,; HF CABLE Back to Search Results
Model Number A0393
Device Problems Smoking (1585); Sparking (2595)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 05/12/2016
Event Type  malfunction  
Manufacturer Narrative
The device will not be returned to olympus for evaluation.The cause of the reported event could not be determined; however, user handling could not be ruled out as a contributing factor.Based on our investigation of this report, it was reported that the device was 5 years old and passed it's 1 year life expectancy as stated in the instruction manual.The instruction manual contains several warning and caution statements in an effort to prevent damage to the cable.¿restricted service life.Do not use the hf cable after one year of use.Visually inspect the cable and the plugs for irregularities on the surface.Do not use a cable with brittle or defective insulation.Replace the cable.In order to plug or unplug the cable always pull at the plug.Never pull at the cable.".
 
Event Description
Olympus was informed that during a therapeutic transurethral resection of the prostate (turp) procedure, the device sparked/smoked when the physician was performing the cut function during the resection of the bladder.No emergency fire evacuation occurred as a result of the reported event.There was no patient or user injury reported.The procedure was completed.
 
Manufacturer Narrative
The device was returned to olympus for evaluation.The evaluation was unable to confirm the reported device malfunction.Olympus was unable to test the device as the device was received broken apart below the connector plug; however, there were no signs of burn or charred marks found with the device.The root cause for the reported event is most likely due to excessive stress and force caused by user handling.The instruction manual contains several warning statements in an effort to prevent damage to the cable.¿visually inspect the cable and the plugs for irregularities on the surface.Do not use a cable with brittle or defective insulation.Replace the cable.In order to plug or unplug the cable, always pull at the plug.Never pull at the cable or risk of damaging the cable may occur.¿.
 
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Brand Name
HF-CABLE, MONOPOLAR, 4 M, UES-30/-40,
Type of Device
HF CABLE
Manufacturer (Section D)
OLYMPUS WINTER & IBE GMBH
kuehnstrasse 61
hamburg, hamburg
Manufacturer Contact
donny shapiro
2400 ringwood avenue
san jose, CA 95131
408935-516
MDR Report Key5679762
MDR Text Key46892706
Report Number2951238-2016-00461
Device Sequence Number1
Product Code DSA
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
PK944201
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 08/05/2016
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received05/25/2016
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberA0393
Device Catalogue NumberA0393
Device Lot Number342998
Other Device ID Number04042761001656
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/20/2016
Is the Reporter a Health Professional? No
Date Manufacturer Received07/26/2016
Was Device Evaluated by Manufacturer? Yes
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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