ClearanceBrief
Recall Z-1292-2021 ยท FDT Duodenoscope And Accessories, Flexible/Rigid

Olympus Corporation of the Americas

Duodenoscope and accessories, flexible/rigid - Product Usage: used with an Olympus video system center, light source, documentation equipment, monitor, Endo Therapy accessories (such as biopsy forceps), and other ancillary equipment for endoscopy and endoscopic surgery within the duodenum.

DateJan 28, 2021
StatusTerminated
ReasonOlympus Medical Systems Corporation (OMSC) has received complaints of mucosal injury associated with the forceps elevator region of the TJF-Q190V duodenoscope, including the distal cover (model MAJ- 2315).
Root causeUnder Investigation by firm
ActionOn 2/5/2021, Olympus issued Urgent Device Correction notices to customers via letter informing them Olympus has identified an increase in the number of complaints from customers reporting that mucosal tissue was found within the single-use distal cover, MAJ-2315, after withdrawing the TJF-Q190V duodenoscope from the patient. In the reported complaints, the user facilities have reported mucosal injuries in the esophagus, stomach, and duodenum. Olympus is thoroughly investigating the root cause or causes of these reported events. This notice included information that may reduce the potential oc
Quantity1564 devices total (Domestic: 627 devices, Foreign: 937 devices)
DistributionWorldwide distribution - US Nationwide distribution including in the states of AL, AR, AZ, CA, CO, CT, FL, GA, HI, IA, ID, IL, IN, KY, LA, MA, MD, ME, MI, MO, MS, MT, NC, NE, NH, NM, NV, NY, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WI, WV, WY and the countries of Japan, Europe, Australia.
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K193182Evis Exera III Duodenovideoscope Olympus TJF-Q190V
Olympus Medical Systems Corp., Jan 17, 2020