inforMED
MalfunctionFBK

SINGLE USE INJECTOR

Received Jul 9, 2026 · Event occurred Jun 12, 2026

Report 9614641-2026-00729 · MDR key 25762940

Device

Generic name

Endoscopic Injection Needle, Gastroenterology-urology

Model number

NM-400U-0425

Lot number

2502122602

Product problems

  • Activation Failure

Patient

64 YR · Male

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THE CUSTOMER REPORTED NEEDLE COULD NOT BE INJECTED DURING A THERAPEUTIC COLONOSCOPY WITH ELECTROSURGICAL RESECTION AND SUBMUCOSAL INJECTION INVOLVING AN OLYMPUS INJECTOR AND SHEATHSET. THE PROCEDURE WAS COMPLETED USING AN OLYMPUS BACK-UP DEVICE. THERE WAS NO PATIENT INJURY REPORTED.

Additional Manufacturer Narrative

THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETED OR IF ADDITIONAL INFORMATION BECOMES AVAILABLE. THREE ATTEMPTS WERE PERFORMED TO OBTAIN ADDITIONAL INFORMATION, BUT NO RESPONSE WAS RECEIVED FROM THE CUSTOMER.