inforMED
MalfunctionFGA

OP-TELESCOPE, 30°, 4 MM CHANNEL

Received May 6, 2026 · Event occurred Nov 12, 2025

Report 9610773-2026-03594 · MDR key 25107908

Device

Generic name

Rigid Nephroscope

Model number

WA33036A

Product problems

  • Material Fragmentation

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS RETURNED TO OLYMPUS FOR INSPECTION. A ROOT CAUSE COULD NOT BE IDENTIFIED. BASED ON THE RESULTS OF THE INVESTIGATION, IT IS LIKELY THE FOLLOWING LED TO THE MALFUNCTION: THE MOST PROBABLE CAUSE OF THE COMPLAINT IS CAUSE TRACED TO COMPONENT FAILURE. 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

IT WAS OBSERVED THAT DURING THE DEVICE EVALUATION, THE RIGID SCOPE EXHIBITED A LITTLE CHIP ON THE DISTAL END OF THE SCOPE. THERE WAS NO PATIENT INVOLVEMENT.