inforMED
MalfunctionFAM

OLYMPUS CF-1TTS2

Received Mar 24, 1994 · Event occurred Mar 7, 1994

Report 2429304-1994-00026 · MDR key 14300

Device

Generic name

Flexible Sigmoidoscope

Model number

CF-1TS2

Catalog number

23130

Lot number

NA

Product problems

  • Component(s), broken

Patient

*

Narrative

Description of Event or Problem

ALTHOUGH THE SIGMOIDOSCOPY WAS SUCCESSFULLY COMPLETED IN THE OUTPATIENT TREATMENT FACILITY, IT WAS NOTED UPON WITHDRAWAL OF THE SCOPE THAT A PIECE OF THE BLACK HOOD WHICH SCRRREWS ONTO THE DISSTAL END OF THE SCOPE WAS MISSING. THE SURGEON REINSERTED THE SCOPE IN ORDER TO RETREIVE THE MISSING PIECE BUT HE WAS UNABLE TO RETREIVE IT. THE PT WAS TAKEN TO THE HOSPITAL WHERE THEY WERE ABLE TO RETREIVE MOST OF THE BROKEN HOOD. THE PT WAS DISCHARGED FROM THE HOSPITAL BECAUSE THE SURGEON WAS CONFIDENT THAT THE PT WOULD PASS THE REMAINING PIECE. THIS WAS LATER CONFIRMED BY THE PT AND SHE IS DOING FINE. OLYMPUS HAS ASKED THAT THE SCOOPE BE RETURNED FOR EVALUATION.