• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: OLYMPUS WINTER & IBE GMBH HF UNIT "ESG-400"; ELECTROSURGICAL GENERATOR ESG-400

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

OLYMPUS WINTER & IBE GMBH HF UNIT "ESG-400"; ELECTROSURGICAL GENERATOR ESG-400 Back to Search Results
Model Number WB91051W
Device Problems Electrical /Electronic Property Problem (1198); Defective Component (2292)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 12/15/2022
Event Type  malfunction  
Manufacturer Narrative
During the repair inspection, the reported e210 error was confirmed which was due to a defective motherboard.Upon replacing the motherboard, additional issue was identified, the device displayed error message e433, which was traced back to a defective power supply (hvps) board.The inspection also noted non-reportable events such as - heavy corrosion on the contact surfaces of the ribbon cable which connects the display and the motherboard.Cracks on the docking connector and cracks and chipping (at the fixing lugs) on the front panel.The legal manufacturer (oste) performed a review of the device history records for the concerned device and all records indicated that the product was manufactured according to all applicable procedures and met final product release criteria.No abnormalities were found.The reportable error, e433, is a known issue.The e433 error will occur if the effective value of the output signal falls below the specific limit.As a safety precaution, the device restarts.If the cause of the error persists, unlimited permanent restarts may follow, then the device is no longer operational.Based on the device evaluation, the cause of the e433 error was isolated to a defective hvps board.Error message e210 occurs if signal channel (ch) i has an incorrect (unexpected) state at the time of the check.For safety reasons, the esg-400 then performs a restart.Based on the device evaluation results, the e210 error was traced to a defective motherboard.In general, the customer is required to check the function of all devices used prior to a procedure.As stated on the ifu (instructions for use manual) and as a preventative measure, the ifu states a suitable replacement device must be provided during an application.Olympus will continue to monitor complaints for this device.
 
Event Description
Olympus (omsi) was informed by the biomedical engineer at the user facility that the high frequency electro-surgical generator has a reported ¿error e210 pop up on screen intermittently¿ during preparation for use.No death or injury and no impact to patient or other has been reported to olympus.The device was returned to the olympus repair center.The reported e210 error was confirmed and due to a defective motherboard.However, upon replacing the defecting motherboard, an e433 error occurred and was isolated to a defective power supply board.This report is being submitted to capture the error e433 malfunction.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
HF UNIT "ESG-400"
Type of Device
ELECTROSURGICAL GENERATOR ESG-400
Manufacturer (Section D)
OLYMPUS WINTER & IBE GMBH
kuehnstrasse 61
hamburg, de 22045
GM  22045
Manufacturer (Section G)
OLYMPUS WINTER & IBE GMBH
kuehnstrasse 61
hamburg 22045
GM   22045
Manufacturer Contact
todd brill
800 west park drive
westborough, MA 01581
5082077661
MDR Report Key16191960
MDR Text Key307579900
Report Number9610773-2023-00248
Device Sequence Number1
Product Code GEI
UDI-Device Identifier04042761076838
UDI-Public04042761076838
Combination Product (y/n)N
Reporter Country CodeIN
PMA/PMN Number
K203682
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,User Facility,Company Representative
Reporter Occupation Biomedical Engineer
Type of Report Initial
Report Date 01/18/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberWB91051W
Device Catalogue NumberWB91051W
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/21/2022
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 12/16/2022
Initial Date FDA Received01/18/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured01/16/2018
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
-
-