inforMED
MalfunctionFTJ

OLYMPUS EVIS EXERA COLONOVIDEOSCOPE

Received May 18, 2012 · Event occurred Apr 1, 2012

Report 8010047-2012-00159 · MDR key 2588945

Device

Generic name

Colonoscope

Model number

CF-Q160AL

Catalog number

CF-Q160AL

Lot number

NA

Product problems

  • No Display/Image

Patient

UNK

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

THE USER FACILITY REPORTED THAT DURING A DIAGNOSTIC COLONOSCOPY THE USERS EXPERIENCED A COMPLETE LOSS OF IMAGE. THE COLONOSCOPE WAS WITHDRAWN FROM THE PT AND THE PROCEDURE WAS COMPLETED USING A DIFFERENT BUT SIMILAR ENDOSCOPE. THERE WAS NO PT INJURY REPORTED.

Additional Manufacturer Narrative

THE DEVICE REFERENCED IN THIS REPORT WAS RETURNED TO OLYMPUS FOR EVAL. THE EVAL DID NOT CONFIRM THE USER'S REPORT OF IMAGE LOSS; HOWEVER, THERE WAS EVIDENCE OF FLUID INVASION IN THE ELECTRICAL CONNECTOR, SCOPE CONNECTOR, AND CONTROL BODY UNIT, WHICH LIKELY CAUSED THE IMAGE DIFFICULTY. THE DEVICE PASSED THE LEAK TEST. THE BENDING SECTION COVER AND BENDING SECTION COVER GLUE ARE FOUND TO BE A NON-OLYMPUS REPAIRS. THE OBJECTIVE LENS WAS CRACKED. THE SWITCH #1 BUTTON IS NOT WORKING. THE INSERTION TUBE FAILED THE INSULATION TEST. THE DEVICE WAS REFURBISHED. THIS REPORT IS BEING SUBMITTED AS A MEDICAL DEVICE REPORT IN AN EXCESS OF CAUTION.