GYRUS ACMI, INC REX 6.9FR URETEROSCOPE, 33CM; URETEROSCOPE AND ACCESSORIES, FLEXIBLE/RIGID
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Model Number REXMR-6A |
Device Problem
Sharp Edges (4013)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 06/28/2022 |
Event Type
malfunction
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Event Description
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Customer reported with an issue of "rough place on end of shaft has burr".The issue found during reprocessing.There was no patient harm, no user injury reported due to the event.
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Manufacturer Narrative
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The subject device was received and evaluated.Device evaluation and inspection, service repair noted the following findings: the complaint of damaged distal end was confirmed.However, no sharp edge or burr was observed during device inspection.Evaluation and inspection findings include dents on distal end and debris in fiber system.Investigation is ongoing.This report will be supplemented accordingly following investigation.
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Manufacturer Narrative
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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.It has been over 2 years since the device was manufactured.Based on the results of the investigation, it is likely that the reported phenomenon occurred due to improper handling during device reprocessing.A definitive root cause cannot be identified.The instructions for use (ifu) instruction manual state: ifu states as follows: ¿study this manual and other labeling thoroughly for safe handling and storage.Misuse of instruments can cause injury to the patient and could have an adverse effect on the procedure being performed.Do not drop instruments or allow them to be struck by other objects"; "do not use an instrument that fails to meet the criteria stated in the labeling or that has been damaged.¿ olympus will continue to monitor the field performance of this device.
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