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MalfunctionJOS

HF-RESECTION ELECTRODE "PLASMALOOP ¿ MEDIUM, 30°", 24 FR., STANDARD, 12°-30°

Received Mar 27, 2025 · Event occurred Mar 12, 2025

Report 3007960282-2025-00036 · MDR key 21708951

Device

Generic name

Hf-resection Electrode

Model number

WA47506S

Lot number

1000133943

Product problems

  • Material Twisted/Bent
  • Material Twisted/Bent

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

E1: (B)(6). THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETED OR IF ADDITIONAL INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

IT WAS REPORTED THE DISTAL END OF THE LOOP WAS BENT INTO A V SHAPE. THE ISSUE OCCURRED DURING A SETUP FOR A THERAPEUTIC PROCEDURE. THE PROCEDURE WAS COMPLETED WITH AN OLYMPUS BACKUP DEVICE. THERE WERE NO REPORTS OF PATIENT HARM.

Additional Manufacturer Narrative

UPDATE TO D9, H3 AND H4. THE DEVICE WAS RETURNED TO OLYMPUS FOR INSPECTION. BASED ON THE RESULTS OF THE INVESTIGATION, THE LIKELY CAUSE COULD BE DUE TO DEFORMATION CAUSED BY AN EXTERNAL OVERLOAD. HOWEVER A DEFINITIVE ROOT CAUSE OF THE ISSUE COULD NOT BE DETERMINED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.

Description of Event or Problem

NO ADDITIONAL INFORMATION RECEIVED FROM CUSTOMER.