The subject device was returned to olympus medical systems corp.(omsc) for evaluation.There were no any defects on the subject device.As the result of checking the manufacturing record of the same lot, there was nothing abnormal found.The exact cause could not be conclusively determined.However, based on the similar cases in the past, it was known that the loop was caught in between the cutter and the loop hanger due to pulling the slider without positioning the loop vertically to the loop hunger.The instruction manual of the device has already warned as follows; do not try to cut the loop that is not positioned on both edges of the loop hanger as plumb as possible for the blade.It may make cutting the loop impossible, or result in the loop getting caught in the distal end of the instrument, which could make it difficult or impossible to remove from the patient.In this case, use pliers to cut the insertion portion of the instrument where it extends from the biopsy valve of the endoscope.Remove the endoscope from the body, then reinsert the endoscope and cut the loop with a spare loop cutter.
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During a polypectomy, the doctor tried to cut the loop of hx-400u-30 with the subject device.Then, the doctor could not withdraw the subject device from the endoscope because the loop was caught in between the cutter and the loop hanger of the subject device.After that, the subject device was released when the doctor manipulated the handle of the subject device while the endoscope was kept straight.The intended procedure was completed.No patient injury was reported.
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