inforMED
InjuryPGU

ENDOSCOPE POSITION DETECTING UNIT

Received Oct 16, 2017 · Event occurred Sep 15, 2017

Report 8010047-2017-01475 · MDR key 6950696

Device

Generic name

Endoscope Position Detecting Unit

Model number

UPD-3

Product problems

  • Insufficient Device Problem Information
  • Insufficient Device Problem Information

Patient

Not reported

  • Skin Tears
  • Skin Tears

Narrative

Additional Manufacturer Narrative

THIS SUPPLEMENTAL REPORT IS SUBMITTING TO CORRECT "DEVICE PRODUCT CODE".

Additional Manufacturer Narrative

THE REFERENCED UPD-3 WAS NOT RETURNED TO OLYMPUS MEDICAL SYSTEMS CORP.(OMSC) FOR EVALUATION, THEREFORE OMSC CANNOT EVALUATE THE UPD-3. THE EXACT CAUSE OF THIS PHENOMENON CANNOT BE CONCLUSIVELY DETERMINED, HOWEVER THERE IS THE POSSIBILITY OF THIS PHENOMENON IS ATTRIBUTED TO INAPPROPRIATE HANDLING OF THE UPD-3 BY THE FACILITY. OMSC CHECKED THE MANUFACTURE HISTORY OF THE UPD-3, THERE WAS NO IRREGULARITY FOUND. THERE WERE NO FURTHER DETAILS PROVIDED. IF SIGNIFICANT ADDITIONAL INFORMATION IS RECEIVED, THIS REPORT WILL BE SUPPLEMENTED.

Description of Event or Problem

DURING THE COLONOSCOPY, WHEN THE RECEIVER DISH ARM OF THE UPD-3 WAS MOVED, THE PATIENT SUFFERED THE SKIN TEAR BECAUSE THE CABLE HOLDER ON THE RECEIVER DISH STAND CONTACTED WITH THE PATIENT. THE PATIENT WAS TREATED AND BANDAGED. THE COLONOSCOPY WAS COMPLETED.