LIGHT-GUIDE CABLE, 4.25 MM, 3 M, CF TYPE
Received Feb 27, 2019 · Event occurred Nov 1, 2018
Report 9610773-2019-00051 · MDR key 8373476
Device
Generic name
Light Guide And Accessories
Manufacturer
Olympus Winter & Ibe GmbhModel number
WA03310ACatalog number
WA03310A
Product problems
- Adverse Event Without Identified Device or Use Problem
- Adverse Event Without Identified Device or Use Problem
Patient
Not reported
- Burn, Thermal
- Burn, Thermal
Narrative
Additional Manufacturer Narrative
THE SUSPECT MEDICAL DEVICE HAS NOT YET BEEN RETURNED TO OLYMPUS FOR EVALUATION/INVESTIGATION. THEREFORE, THE EXACT CAUSE OF THE USER'S EXPERIENCE AND THE REPORTED PHENOMENON COULD NOT BE DETERMINED AND IS BEING JUDGED AS UNKNOWN. HOWEVER, IF THE SUSPECT MEDICAL DEVICE IS RETURNED FOR EVALUATION/INVESTIGATION OR ADDITIONAL SIGNIFICANT INFORMATION BECOMES AVAILABLE, THIS REPORT WILL BE UPDATED.
Description of Event or Problem
OLYMPUS WAS INFORMED THAT DURING A THERAPEUTIC TOTAL LAPAROSCOPIC HYSTERECTOMY (TLH), THE PATIENT SUSTAINED A BURN ON THE INNER THIGH WHICH REQUIRED FURTHER TREATMENT. NO FURTHER INFORMATION WAS PROVIDED AND THERE WAS NO REPORT ABOUT A MALFUNCTION OF ANY OF THE MEDICAL DEVICES. THE INTENDED PROCEDURE WAS COMPLETED WITH THE SAME SET OF EQUIPMENT.
Additional Manufacturer Narrative
THE SUSPECT MEDICAL DEVICE WAS NOT RETURNED TO OLYMPUS FOR EVALUATION/INVESTIGATION. THEREFORE, THE INVESTIGATION/EVALUATION WAS PERFORMED EXCLUSIVELY ON THE BASIS OF THE INFORMATION PROVIDED BY THE CUSTOMER. THERE WERE NO REPORTS OF ANY MALFUNCTION OF THE LIGHT-GUIDE CABLE. BASED ON THE INFORMATION AVAILABLE, THE EXACT CAUSE OF THE REPORTED PHENOMENON AND THE PATIENT¿S OUTCOME COULD NOT BE DETERMINED AND IS BEING JUDGED AS UNKNOWN. FURTHERMORE, A MANUFACTURING AND QUALITY CONTROL REVIEW COULD NOT BE PERFORMED SINCE BASIC DATA OF ARTICLE IDENTIFICATION (LOT NUMBER) ARE MISSING. THE CASE WILL BE CLOSED ON OLYMPUS SIDE WITH NO FURTHER ACTIONS. HOWEVER, THE REPORTED EVENT/INCIDENT WILL BE RECORDED FOR TRENDING AND SURVEILLANCE PURPOSES.