inforMED
MalfunctionFAM

OLYMPUS

Received Jul 14, 2005

Report 8010047-2005-00072 · MDR key 624518

Device

Generic name

Sigmoidovideoscope

Model number

CF-Q160S

Catalog number

NA

Lot number

NA

Product problems

  • Blank screen
  • Replace
  • Device Displays Incorrect Message

Patient

UNKNOWN

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

THE HOSPITAL REPORTED THEY WERE EXPERIENCING INTERMITTENT YELLOW LINES IN THE IMAGE UNTIL IT BLACKED-OUT COMPLETELY. THE IMAGE WAS UNABLE TO BE RETRIEVED. THE PROCEDURE WAS COMPLETED WITH THE USE OF ANOTHER SIMILAR ENDOSCOPE. THERE WAS NO ALLEGATION OF HARM.