This report is being supplemented to provide additional information based on device return evaluation and the legal manufacturer's final investigation.Please also refer to h4 for manufacturing date updates.The device manufacturing date is being corrected from march 5, 2022 of the initial mdr report.The correct manufacturing date is feb 10, 2022.The returned device was inspected, and the complaint was confirmed.The device was returned in its original packaging.The model was confirmed to be cd-b612la and lot was kr200145.Upon inspection, it was observed that the probe sheath above the hemostasis tip was broken but not completely detached, and the internal wires remained intact.The presence of blood residue on the sheath, on the probe tip, and inside the luer, indicated prior usage.No other damages were observed besides the broken tip.To test functionality, the device was connected to a bipolar generator, and the tip was submerged in a small amount of saline.The application of energy resulted in bubbling of the saline, indicating proper energy transmission.Due to the broken tip, testing of irrigation capability was not possible.In summary, the device functioned as intended, however, the probe sheath above the hemostasis tip was broken.Review of device history record (dhr) records provided no indication that manufacturing procedures contributed to the reported event.All records indicate that the product was manufactured and tested in accordance with all applicable procedures and met all final product release criteria.Based on inspection findings, the observed sheath fracture may have resulted from the probe being buckled and bound inside the scope's channel with excessive force or the distal probe tip being subjected to blunt force against a hard object.However, the exact cause could not be definitively determined during the investigation.Page 6 of the device ifu (instructions for use_p9100505-001_ah) addresses this: "do not use the device if resistance to insertion is encountered.Reduce the angle or lower the forceps elevator of the endoscope until the device passes smoothly; do not advance or extend the device abruptly; insert the device slowly.Abrupt insertion may cause damage to the endoscope or the device." in addition, page 3 of the ifu states ¿keep the device tip in sight during use.Inadvertent activation or movement of the device outside the field of vision may result in patient injury." olympus will continue to monitor complaints for this device.
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