The device was returned for investigation.Upon evaluation of the device, the reported events were confirmed.In addition, a co2 gas leakage from the safety valve due to a defective electro pneumatic proportional valve was noted.Lastly, the base foot was missing.The investigation is ongoing; therefore, the root cause of the reported event cannot be determined at this time, however, if additional information becomes available, this report will be supplemented accordingly.
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This report is being supplemented to provide additional information based on the legal manufacturer's investigation.A review of the device history record found no deviations that could have caused or contributed to the reported issue.It has been over 9 years since the subject device was manufactured.Based on the results of the investigation, the reported issues of high flow rate and abnormal sound produced during insullflation were able to be reproduced, but a definitive root cause could not be identified.The reported issue of carbon dioxide leakage from safety valve was due to an electro-pneumatic proportional valve failure.It was not possible to determine the root cause of the valve failure.Olympus will continue to monitor field performance for this device.
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