inforMED
MalfunctionGDB

FUJINON

Received Apr 11, 2017 · Event occurred Jan 6, 2017

Report 6479948 · MDR key 6479948

Device

Generic name

Endoscope, Fiber Optic

Model number

EN-450T5

Product problems

  • Break

Patient

87 YR

  • No Known Impact Or Consequence To Patient
  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

PROCEDURE: ESOPHAGOGASTRODUODENOSCOPY WITH DOUBLE BALLOON ENTEROSCOPY NN: FUJINON DOUBLE BALLOON SCOPE BROKE DURING THE PROCEDURE. WE CHANGED TO A SECOND SCOPE. THE BROKEN SCOPE WAS IMMEDIATELY SENT OUT FOR REPAIR PER OUR PROTOCOL. THE DOUBLE BALLOON ENTEROSCOPY PROCEDURE HAS A POTENTIAL FOR GASTRIC MUCOSAL INJURY BECAUSE OF THE DISTANCE THE SCOPE TRAVELS INTO THE SMALL INTESTINE AND THE POTENTIAL FOR SUBSEQUENT LOOPING IN THE STOMACH. THE SCOPE DIALS BREAKING DIDN'T CAUSE THE MUCOSAL INJURY. CORRECT ENDOSCOPE FUJINON INC. MEDICAL DIVISION COLONOSCOPE DOUBLE BALLOON ENDOSCOPY MODEL EN-450T5.