SINGLE USE SURGICAL SCISSORS FS-200
Received Sep 19, 2025 · Event occurred Jun 2, 2025
Report 9614641-2025-01579 · MDR key 23097811
Device
Generic name
Single Use Surgical Scissors
Manufacturer
Aomori Olympus Co., Ltd.Model number
FS-200LLot number
45K
Product problems
- Mechanical Jam
- Mechanical Jam
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
THIS REPORT IS BEING SUPPLEMENTED TO PROVIDE ADDITIONAL INFORMATION BASED ON THE APPROVED FINAL INVESTIGATION. BASED ON THE RESULTS OF THE INVESTIGATION, AND SINCE THE COMPLAINT COULD NOT BE DIRECTLY REPRODUCED AS THE DEVICE WAS RETURNED IN SEPARATE PIECES AND THE REPORTED EVENT WAS NOT REPRODUCIBLE, THE DEFINITIVE ROOT CAUSE OF THE REPORTED ISSUE COULD NOT BE DETERMINED. HOWEVER, BASED ON THE REPORTED INFORMATION, THE MOST PROBABLE CAUSE OF THE COMPLAINT IS TRACED TO THE USER NOT FOLLOWING THE MANUFACTURER'S INSTRUCTIONS. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.
Description of Event or Problem
NO ADDITIONAL INFORMATION RECEIVED FROM CUSTOMER.
Additional Manufacturer Narrative
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 THAT THE SUBJECT DEVICE HAD SCISSORS THAT FAILED TO CUT AND WOULD NOT REOPEN, RESULTING IN ENTRAPMENT OF BOTH THE SUTURE AND THE SURROUNDING MUCOSA. THE ISSUE WAS FOUND DURING SEDATION OF ESOPHAGOGASTRODUODENOSCOPY (EGD) THERAPEUTIC PROCEDURE. THE PROCEDURE WAS COMPLETED USING A CHANGE IN PROCEDURE/SURGICAL TECHNIQUE. THERE WERE NO REPORTS OF PATIENT HARM.