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Model Number ENF-VH |
Device Problem
Device Reprocessing Problem (1091)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 11/09/2022 |
Event Type
malfunction
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Manufacturer Narrative
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The following patient identifiers are related to each other: (b)(6) (model number enf-vh - rhino-laryngo videoscope: serial number (b)(4)), (b)(6) (model enf-v3 - rhino-laryngo videoscope : serial number (b)(4)), (b)(6)- model gif-n180 - evis exera ii gastrointestinal videoscope : serial number (b)(4)) and (b)(6) (model oer-elite - endoscope reprocessor).When speaking to the olympus endoscopy support specialist (ess), the reprocessing technicians explained this was occurring because the scopes were just ¿expired¿ scopes that needed to rerun and were ¿clean.¿ it was further explained that at this time, there was not a way to scan enf scopes into the elite for the reprocessor to run, which was why the enf scopes were with the gif scope.The endoscopy support specialist (ess) instructed the reprocessing technicians that it was against the elite¿s instructions for use (ifu) to reprocess three (3) scopes at once.Additionally, enf scopes are not compatible to run in the oer-elite with gif scopes.A quote was made for the radio-frequency identification (rfid) tags to be made for the scopes to run in the elite by themselves.Ess relayed this information to the management at the user facility.The ess ensured the scopes that were placed in the elite were re-high-level disinfected (hld) properly.The customer has a back up plan until the rfid tags come in to hld soak in cidex.The investigation is ongoing and follow up with the user facility is currently being performed.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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Event Description
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The endoscopy support specialist (ess) reported that while performing reprocessing training on the tjf-q190v scope, the ess observed that the customer site was washing three (3) scopes (enf-vh, enf-v3 and gif-n180) in the oer-elite instead of the recommended two (2).There were no reports of patient harm associated with this event.
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Manufacturer Narrative
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This report is being supplemented to provide additional information based on the legal manufacturer's final investigation.Please see updates to h4, h6 and h10.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, the root cause of this event (reprocessed enf-vh with incompatible oer-elite) was unable to be identified.The following is included in the instructions for use: ¿the instruction manual describes that oer-elite has the channel monitoring function, which monitors the fluid flow of each endoscope channel during the reprocessing process and checks clogging of the endoscope¿s suction channel (channel blockage monitoring) and the connection status of the connecting tubes (channel connectivity monitoring).The instruction manual descries that the ¿channel blockage monitoring¿ is not available for some endoscopes, and that enf-vh/enf-v3 which has no forceps channel and gif-n180 with forceps channel cannot be cleaned at the same time.¿ olympus will continue to monitor field performance for this device.
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Search Alerts/Recalls
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