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Single use guide sheath kit

Official notice

23 Jan 2025

Last checked

23 Jan 2025

Medium riskHealth Canada
Watch Olympus Medical

An official Health Canada notice concerns Single use guide sheath kit. Olympus conducted an investigation into the Single Use Guide Sheath Kits after receiving complaints that the radiopaque tip of the guide sheath component fell off into the patient. Since July 2021, Olympus has received 32 complaints involving intraoperative disassociation of the guide sheath radiopaque tip in which the tip fell off into the patient. Of these 32 complaints, 26 were reported as serious injuries, and 6 were reported as malfunctions. The preliminary findings from Olympus' investigation have identified that the disassociation of the tip from the guide sheath is likely the result of excessive force applied when inserting instruments into the guide sheath, and/or damage to the distal end of the sheath. Olympus reminds users to closely follow the Instructions For Use (IFU) for the Single Use Guide Sheath Kits, especially the inspection directions detailed in sections 9 to 9.2 of the IFU, and the warnings and cautions listed in section 9.3 operation, which instruct users not to force instruments if resistance is encountered. Forcing instruments through the guide sheath can contribute to disassociation of the guide sheath radiopaque tip. Recall Start Date: January 15, 2025 Published 2025-01-23.

What to do now

Contact the manufacturer if you require additional information.

Recall number

76847

Official notice

2025-01-23

The hazard

Olympus conducted an investigation into the Single Use Guide Sheath Kits after receiving complaints that the radiopaque tip of the guide sheath component fell off into the patient. Since July 2021, Olympus has received 32 complaints involving intraoperative disassociation of the guide sheath radiopaque tip in which the tip fell off into the patient. Of these 32 complaints, 26 were reported as serious injuries, and 6 were reported as malfunctions. The preliminary findings from Olympus' investigation have identified that the disassociation of the tip from the guide sheath is likely the result of excessive force applied when inserting instruments into the guide sheath, and/or damage to the distal end of the sheath. Olympus reminds users to closely follow the Instructions For Use (IFU) for the Single Use Guide Sheath Kits, especially the inspection directions detailed in sections 9 to 9.2 of the IFU, and the warnings and cautions listed in section 9.3 operation, which instruct users not to force instruments if resistance is encountered. Forcing instruments through the guide sheath can contribute to disassociation of the guide sheath radiopaque tip. Recall Start Date: January 15, 2025

How to check if you're affected

Compare the VIN on your vehicle against the official list. If your VIN is listed, follow the official notice.

Recall Numbers

76847

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Affected products

Product 1

Affected products - Single Use Guide Sheath Kit, Lot or serial number - All lots., Model or catalog number - K-202 K-204 K-203 K-201

Risk / hazard

Olympus conducted an investigation into the Single Use Guide Sheath Kits after receiving complaints that the radiopaque tip of the guide sheath component fell off into the patient. Since July 2021, Olympus has received 32 complaints involving intraoperative disassociation of the guide sheath radiopaque tip in which the tip fell off into the patient. Of these 32 complaints, 26 were reported as serious injuries, and 6 were reported as malfunctions. The preliminary findings from Olympus' investigation have identified that the disassociation of the tip from the guide sheath is likely the result of excessive force applied when inserting instruments into the guide sheath, and/or damage to the distal end of the sheath. Olympus reminds users to closely follow the Instructions For Use (IFU) for the Single Use Guide Sheath Kits, especially the inspection directions detailed in sections 9 to 9.2 of the IFU, and the warnings and cautions listed in section 9.3 operation, which instruct users not to force instruments if resistance is encountered. Forcing instruments through the guide sheath can contribute to disassociation of the guide sheath radiopaque tip. Recall Start Date: January 15, 2025

Where it was sold

The source does not list specific retailers. See the official notice for where affected vehicles were sold.

Location 1

CA · Canada

Affected area 1

CA · Canada

Company & contacts

Brand

Olympus Medical, Single Use Guide Sheath Kit

Manufacturer

Not provided

Phone

Not provided

Brand: Olympus Medical, Single Use Guide Sheath Kit.

Source & status

Source

Health Canada

Tier

official

Category

HOME

Classification

Type II

App estimate

medium

Recall details

Recall number

76847

Classification

Type II

Source tier

official

Documents, notices & source

See the official notice and source documents for full details.

View full official notice
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