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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PENTAX OF AMERICA , INC. PENTAX; PENTAX MEDICAL VIDEO PROCESSOR EPK-I8020C

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PENTAX OF AMERICA , INC. PENTAX; PENTAX MEDICAL VIDEO PROCESSOR EPK-I8020C Back to Search Results
Model Number EPK-I8020C
Medical Device Problem Code Poor Quality Image (1408)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/03/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Pentax medical emea performed a good faith effort (gfe) to gather additional information regarding this event and received a response via email on 15-oct-2025.The same phenomenon occurred with three processors, and all procedures were stopped before completion.Investigation is in process.If additional information becomes available, a supplemental report will be filed with the new information.Related mdr numbers: 9610877-2025-00200_epk-i8020c_f0158z0062_the screen turns red during bleeding.9610877-2025-00201_epk-i8020c_e0158z0139_the screen turns red during bleeding.9610877-2025-00202_epk-i8020c_e0158z0055_the screen turns red during bleeding.
 
Event or Problem Description
On (b)(6) 2025, pentax medical became aware of an event involving a pentax medical video processor model epk-i8020c, serial number (b)(6) in spain within the emea region.When used for bleeding cases, the endoscopic image displayed by the processor appeared strongly reddish.This event occurred at the time of during use.There was no report of patient harm.This event meets the requirements for fda reportability; however, submission of this report does not constitute an admission that medical personnel, user facility, importer, manufacturer, or product caused or contributed to the event.
 
Additional Manufacturer Narrative
Correction information b4: date of this report - updated g6: follow-up #: 1 h2: if follow-up, what type? - updated h3: device evaluated by manufacturer - "no" to "yes" h6: codes updated - component code, type of investigation, investigation findings, investigation conclusions.Additional information d4: primary unique device identifier (udi) h4: device manufacture date h11: evaluation summary.Evaluation summary the reported event was that the image appeared excessively red.Based on the investigation, it was considered that the eb19-j10u was used in a case involving bleeding, and blood covering the objective lens resulted in a red image.A definitive root cause of the reported issue could not be identified.According to the video attached to the complaint, wiping the endoscope tip with gauze restored the image to normal, and blood was observed on the gauze.To date, no patient harm has been reported related to this issue.A device history record (dhr) review was performed by the manufacturer.The dhr review confirmed that the endoscope was manufactured at miyagi on 07-jan-2025 under normal conditions.During the final inspection, scrtch (scratches, cracks in paint or finish) was detected, and the tracked subassembly was replaced.However, it was confirmed that the endoscope passed all required inspections and was released accordingly.The dates of approval for shipment and the actual date shipped were confirmed on 27-jan-2025.Related mdr numbers: 9610877-2025-00200_epk-i8020c_(b)(6)_the screen turns red during bleeding_fu1, 9610877-2025-00201_epk-i8020c_(b)(6)_the screen turns red during bleeding_fu1, 9610877-2025-00202_epk-i8020c_(b)(6)_the screen turns red during bleeding_fu1.
 
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Brand Name
PENTAX
Common Device Name
PENTAX MEDICAL VIDEO PROCESSOR EPK-I8020C
Manufacturer (Section D)
PENTAX OF AMERICA , INC.
3 paragon drive
montvale NJ 07645
Manufacturer (Section G)
HOYA CORPORATION PENTAX TOKYO OFFICE
tsutsujigaoka 1-1-110
akishima-shi, tokyo 196-0 012
JA   196-0012
Manufacturer Contact
gurvinder nanda
3 paragon drive
montvale, NJ 07645
2015712318
MDR Report Key23411961
Report Number9610877-2025-00201
Device Sequence Number8945855
Product Code PEA
UDI-Device Identifier04961333254934
UDI-Public(01)04961333254934(11)250107
Combination Product (Y/N)N
Initial Reporter CountrySP
PMA/510(K) Number
K231249
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 12/16/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberEPK-I8020C
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 10/03/2025
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date10/29/2025
Supplement Report FDA Received Date12/16/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured01/07/2025
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
Patient SexUnknown
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