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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AIZU OLYMPUS CO., LTD. ENDOSCOPE REPROCESSOR

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AIZU OLYMPUS CO., LTD. ENDOSCOPE REPROCESSOR Back to Search Results
Model Number OER-PRO
Medical Device Problem Codes Device Reprocessing Problem (1091); Activation Failure (3270)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/29/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The evaluation of the event is ongoing.Should additional relevant information become available, a supplemental report will be submitted.
 
Event or Problem Description
It was reported that the endoscope reprocessor exhibited prolonged reprocessing cycle times.During the cycle, the device remained at 17 minutes for an extended period before completing the cycle near the end.The issue was reportedly observed following replacement of the disinfectant alcohol and during the first cycle of the day.The issue occurred during reprocessing and there were no reports of patient involvement.
 
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Brand Name
ENDOSCOPE REPROCESSOR
Common Device Name
ENDOSCOPE REPROCESSOR
Manufacturer (Section D)
AIZU OLYMPUS CO., LTD.
3-1-1 niiderakita
aizuwakamatsu-shi, fukushima 965-8 520
JA  965-8520
Manufacturer (Section G)
AIZU OLYMPUS CO., LTD.
3-1-1 niiderakita
aizuwakamatsu-shi, fukushima 965-8 520
JA   965-8520
Manufacturer Contact
todd brill
800 west park drive
westborough, MA 01581
5082077661
MDR Report Key25220794
Report Number9610595-2026-40665
Device Sequence Number21276630
Product Code FEB
UDI-Device Identifier04953170258589
UDI-Public04953170258589
Combination Product (Y/N)N
Initial Reporter StateIL
Initial Reporter CountryUS
PMA/510(K) Number
K103264
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility
Initial Reporter Occupation Administrator/Supervisor
Type of Report Initial,Followup
Report Date (Section B) 06/23/2026
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 NumberOER-PRO
Was Device Available for Evaluation? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 04/29/2026
Supplement Date Received by Manufacturer06/04/2026
Initial Report FDA Received Date05/19/2026
Supplement Report FDA Received Date06/23/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/01/2015
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 Reuse
Patient Sequence Number1
Patient SexUnknown
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