Through follow-up with the user facility, us endoscopy has learned that the tip of the scope was not dried prior to cap attachment and medical tape was not used to secure the cap, contrary to the instructions for use.The instructions for use include the following statements: "dry the tip of the endoscope by wiping with a 4x4 gauze, or dry wash cloth.It is important that the reveal distal attachment cap and tip of the endoscope are dry to ensure that the device stays attached to the endoscope.Secure the reveal distal attachment cap to the endoscope using medical grade tape." the device history record was reviewed and confirmed the device lot was manufactured to specification.There have been no other complaints associated with this lot.The devices subject of the reported events were not retained by the user facility for evaluation.Us endoscopy performed dimensional inspection on devices from the same lot, which confirmed the devices were within specification.Us endoscopy provided the facility with in-service training including instruction on attaching and securing the cap to the endoscope.No additional issues have been reported.
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