inforMED
MalfunctionGCT

EVIS LUCERA ELITE XENON LIGHT SOURCE

Received Jun 6, 2026 · Event occurred Jun 1, 2026

Report 3002808148-2026-19526 · MDR key 25418822

Device

Generic name

Xenon Light Source

Model number

CLV-290SL

Product problems

  • Poor Quality Image

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

UPDATED FIELDS: H2, H11. THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED TO PROVIDE THE CORRECTION. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE. THIS REPORT WAS SENT IN ERROR AS SOUND NOISE WOULD NOT CAUSE OR CONTRIBUTE TO A DEATH OR A SERIOUS INJURY IF IT WERE TO RECUR.

Description of Event or Problem

NO ADDITIONAL INFORMATION RECEIVED FROM THE CUSTOMER.

Description of Event or Problem

IT WAS REPORTED THAT LIGHT SOURCE HAD NOISY IMAGE. THE EVENT OCCURRED DURING INSPECTION FOR USE. THERE WERE NO REPORTS OF PATIENT HARM.

Additional Manufacturer Narrative

THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETED OR IF ADDITIONAL INFORMATION BECOMES AVAILABLE.