inforMED
MalfunctionPRX

0.035" HYBRID WIRE, BOX OF 5

Received Aug 30, 2022 · Event occurred Aug 12, 2020

Report 3003790304-2022-00183 · MDR key 15320367

Device

Generic name

Wire

Manufacturer

Gyrus Acmi, Inc.

Model number

GWH3505R

Lot number

UNKNOWN

Product problems

  • Accessory Incompatible
  • Accessory Incompatible

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THIS MDR IS BEING SUBMITTED AS PART OF A RETROSPECTIVE REVIEW AND REMEDIATION EFFORT BASED ON ENHANCEMENTS MADE TO THE COMPANY¿S MDR AND COMPLAINT HANDLING PROCESSES. CAPAS HAVE BEEN OPENED TO MANAGE THE ACTIONS THAT ARE BEING TAKEN TO REMEDIATE THIS ISSUE AND ENSURE ANY REQUIRED MDR REPORTING IS COMPLETED. THE DEVICE WAS NOT RETURNED TO OLYMPUS FOR EVALUATION, THEREFORE THE COMPLAINT COULD NOT BE CONFIRMED. THE DHR WAS UNABLE TO BE REVIEWED FOR THIS DEVICE SINCE THE SERIAL NUMBER WAS NOT PROVIDED. HOWEVER, OLYMPUS ONLY RELEASES PRODUCTS TO MARKET THAT MEET ALL MANUFACTURING SPECIFICATIONS AND FINAL PRODUCT RELEASE CRITERIA. BASED ON THE RESULTS OF THE INVESTIGATION, A DEFINITIVE ROOT CAUSE CANNOT BE IDENTIFIED. OLYMPUS WILL CONTINUE TO MONITOR THE FIELD PERFORMANCE OF THIS DEVICE.

Description of Event or Problem

THE CUSTOMER REPORTED TO OLYMPUS THAT A COOK MEDICAL URETERAL STINT MALFUNCTIONED WHEN USING THE OLYMPUS GUIDE WIRE . THE REPORTED PROBLEM WAS FOUND DURING A THERAPEUTIC URETEROSCOPY, WHICH WAS COMPLETED SUCCESSFULLY. THERE WAS NO HARM OR USER INJURY REPORTED DUE TO THE EVENT.