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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: OLYMPUS WINTER & IBE GMBH HF-CABLE, BIPOLAR; ELECTRICAL-ONLY MEDICAL DEVICE CONNECTION CABLE, REUSABLE

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OLYMPUS WINTER & IBE GMBH HF-CABLE, BIPOLAR; ELECTRICAL-ONLY MEDICAL DEVICE CONNECTION CABLE, REUSABLE Back to Search Results
Model Number WA00014A
Medical Device Problem Code Melted (1385)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device was returned to olympus for inspection, and the reported failure was confirmed.In addition, the following reportable malfunctions were identified during the device evaluation: the cable revealed a broken cable and a broken core wire on the fracture surface, as well as melted and burnt marks.Based on the results of the investigation a root cause could not be identified.Should additional relevant information become available, a supplemental report will be submitted.Olympus will continue to monitor field performance for this device.
 
Event or Problem Description
It was reported that the electrical-only medical device connection cable, reusable had one of the two prongs on the scope side spark and melt.The event occurred during a transurethral resection of bladder tumor (turbt) therapeutic procedure, which was completed using a similar device.There were no reports of patient harm.
 
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Brand Name
HF-CABLE, BIPOLAR
Common Device Name
ELECTRICAL-ONLY MEDICAL DEVICE CONNECTION CABLE, REUSABLE
Manufacturer (Section D)
OLYMPUS WINTER & IBE GMBH
kuehnstrasse 61
hamburg 22045
GM  22045
Manufacturer (Section G)
OLYMPUS WINTER & IBE GMBH
kuehnstrasse 61
hamburg 22045
GM   22045
Manufacturer Contact
todd brill
800 west park drive
westborough, MA 01581
5082077661
MDR Report Key24304486
Report Number9610773-2026-00913
Device Sequence Number12090791
Product Code FAS
UDI-Device Identifier04042761076449
UDI-Public04042761076449
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K120418
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,User Facility
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 02/10/2026
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 NumberWA00014A
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/28/2026
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 01/14/2026
Initial Report FDA Received Date02/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
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
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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