inforMED
MalfunctionFAM

PENTAX

Received May 2, 2024 · Event occurred Apr 23, 2024

Report 9610877-2024-53144 · MDR key 19227246

Device

Generic name

Video Sigmoidoscope 4.2c 12.8t 700l Fwj

Model number

ES-3870K

Product problems

  • No Display/Image
  • No Display/Image

Patient

NA · Unknown

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

Narrative

Description of Event or Problem

THE TIME OF EVENT IS UNKNOWN. THERE WAS NO REPORT OF PATIENT HARM. VIDEO IMAGE FAILURE(BLACKOUT).

Additional Manufacturer Narrative

THE PRODUCT WAS RETURNED TO PENTAX MEDICAL FOR REPAIR. OUR TECHNICIAN CHECKED THE RETURNED UNIT AND CONFIRMED THAT THE CCD MODULE WITH DRIVE PCB BLACKOUT. BASED ON THE RESULT, WE CONCLUDED THAT IT WAS CAUSED DUE TO THE EXCESSIVE FORCE APPLIED ON THE CCD MODULE WITH DRIVE PCB. IN ADDITION, OUR TECHNICIAN CONFIRMED THAT THE CONTROL BODY FLUID DAMAGE, THE CCD DRIVE PCB FLUID DAMAGE, THE ELECTRICAL PIN CONNECTOR FLUID DAMAGE, THE LCB (LIGHT CARRYING BUNDLE) BROKEN, THE LG CONNECTOR CORRODED, AND THE OPERATION CHANNEL (PRIMARY) KINK; HOWEVER, THESE DEFECTS ARE NOT THE MAIN CAUSE, AND/OR IRRELEVANT TO THE ALLEGED COMPLAINT. BASED ON THE TECHNICAL REPORT ""HR-RPT-0586(IMAGE FAILURE)"" AND/OR THE RISK ANALYSIS RESULTS, IT WAS EVALUATED TO SUBMIT MDR.