OLYMPUS WINTER & IBE GMBH INNER SHEATH, FOR 26 FR. OUTER SHEATH; RESECTION SHEATHS, IRRIGATION RINGS, CYSTOSCOPE SHEATHS, HYSTEROSCOPE SHEATHS
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Model Number A22040A |
Device Problems
Break (1069); Fracture (1260); Mechanical Problem (1384)
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Patient Problems
No Known Impact Or Consequence To Patient (2692); Device Embedded In Tissue or Plaque (3165)
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Event Date 11/14/2017 |
Event Type
malfunction
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Manufacturer Narrative
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The suspect medical device was not returned to olympus for evaluation/investigation.Therefore, the exact cause of the user's experience and the reported phenomenon could not be determined and is being judged as unknown.Furthermore, a manufacturing and quality control review could not be performed since basic data of article identification (lot number) are missing.The case will be closed from olympus side with no further actions but may be reopened if the suspect medical device is returned for evaluation/investigation or additional significant information becomes available at a later time.Then, this report will be updated.Furthermore, the reported phenomenon will be recorded for trending and surveillance purposes.
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Event Description
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Olympus was informed that during a therapeutic transurethral resection of the bladder tumor (turbt) procedure, the ceramic insulation at the distal end of the inner sheath broke off and fell inside the patient's bladder.However, no fragment remained inside the patient since the ceramic insulation was reportedly retrieved.The intended procedure was successfully completed with another similar device and there was no adverse event or patient injury.
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Manufacturer Narrative
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Correction: device available for evaluation? additional information: lot #; device manufacture date.Device evaluation: the suspect medical device was not returned to the manufacturer for evaluation/ investigation but to olympus medical systems corporation (omsc), (b)(4).The evaluation/ investigation confirmed that the ceramic insulation at the distal end of the inner sheath is damaged.A fragment is broken off.Furthermore, there is thermal damage on the inner surface of the ceramic insulation.The cause of this damage and the breakage of the ceramic insulation is fatigue due to long-term use in combination with thermal mechanical wear and tear.The case will be closed from olympus side with no further actions.However, the event/incident will be recorded for trending and surveillance purposes.
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Search Alerts/Recalls
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