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Model Number CYF-5 |
Device Problem
Microbial Contamination of Device (2303)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 01/16/2024 |
Event Type
malfunction
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Event Description
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It was reported that, the cystonephrofiberscope tested positive for unexpected contamination.The issue was found during a routine microbiological culture of the scope during reprocessing.All channels were sampled.As per the hygiene microbiological investigation (hmi) report provided by the customer microorganism 1 cfu/ endoscope, microorganisms 1 cfu/ 100ml, and moraxella osloensis was detected.The hmi was repeated by the customer and microorganism 1 cfu/ endoscope, microorganisms 2 cfu/ 100ml, and moraxella osloensis was detected.The hmi did not specify any quantities.The user did not report any contamination or any other serious deterioration in state of health of any person, to which the scope could have been a contributory cause.
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Manufacturer Narrative
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The suspect device has been returned to olympus for evaluation and the investigation is ongoing.The physical device evaluation has been completed.Prior to the device evaluation, the device was sent out for additional microbiological testing.The hygiene microbiological investigation report indicated the channels of the scope were cultured and less than 1 colony forming units (cfu) of microbes were found.The results obtained comply with the target level for an endoscope subjected to high level disinfection and rinsed with sterile water.Once the investigation has been completed, a supplemental report will be submitted upon completion of the investigation or if any additional information is provided by the user facility.
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Manufacturer Narrative
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This report is being supplemented to provide additional information based on the legal manufacture's (lm) review of the customer cleaning disinfection and sterilization (cds) processes, the device evaluation and the lms final investigation.The lm reviewed the customer provided the cds processes where no obvious deviations from instructions for use (ifu) were identified.The device was evaluated where no abnormalities were found that could have led to the positive culture.A review of the device history record found no deviations that could have caused or contributed to the reported issue.Based on the results of the investigation, a root cause could not be determined.Growth of microorganisms were found through culture testing by the user after reprocessing.However, when olympus culture tested after reprocessing in accordance with the ifu before repair, the results conformed to the regulation's recommendation.The ifu includes the following sections describing reprocessing method: - chapter "reprocessing workflow for endoscopes and accessories".- chapter "reprocessing the endoscope".Olympus will continue to monitor field performance for this device.
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Search Alerts/Recalls
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