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Updated Status of FUJIFILM Medical Systems, U.S.A., Inc. Model ED-530XT Duodenoscopes: FDA Safety Communication

Audience: Users and reprocessors of the FUJIFILM Medical Systems, U.S.A., Inc. (Fujifilm) ED-530XT duodenoscope including:
Infection control practitioners
Medical Specialties: Gastroenterology, Infection Control
Device: Fujifilm duodenoscope model ED-530XT is intended for the visualization of the duodenum and upper digestive tract, specifically for the observation, diagnosis, and endoscopic treatment of the esophagus, stomach, and duodenum.
Purpose: The FDA is issuing this communication to provide updated status information about FDA clearance of Fujifilm's ED-530XT and to amplify Fujifilm's Urgent Medical Device Correction and Removal notice, issued on July 21, 2017.
Summary of Problem and Scope:
As noted in FDA's February 2015 Safety Communication , the complex design of duodenoscopes may impede effective reprocessing. Reprocessing is a detailed, multistep process to clean and disinfect or sterilize reusable devices. The FDA has been working with duodenoscope manufacturers as they modify and validate their reprocessing instructions to further enhance the safety margin of their devices and show with a high degree of assurance that their reprocessing instructions, when followed correctly, effectively clean and disinfect the duodenoscopes.
In December 2015 , Fujifilm issued validated manual reprocessing instructions for the ED-530XT duodenoscope to replace those provided in the original device labeling. The FDA worked with Fujifilm as they modified and validated reprocessing instructions for the ED-530XT duodenoscope to show with a high degree of assurance that the instructions, when correctly followed, will lead to effective cleaning and disinfection of the ED-530XT duodenoscope. At that time, Fujifilm had a pending 510(k) premarket notification for its ED-530XT.
On July 21, 2017, Fujifilm issued an Urgent Medical Device Correction and Removal notification informing customers of its voluntary recall of all ED-530XT duodenoscopes. This action includes replacement of the ED-530XT forceps elevator mechanism including the O-ring seal, replacement of the distal end cap, and new Operation Manuals. The FDA cleared the updated design and labeling for the ED-530XT on July 21, 2017.
Recommendations for Health Care Facilities:
Indicate if you do NOT have any affected duodenoscopes or Operation Manuals.
Upon receipt of the enclosed new Operation Manuals, remove and replace any older operation manuals from your facility, and destroy and dispose of properly.
Visit the FDA's Infections Associated with Reprocessed Duodenoscopes webpage for a complete listing of actions the Agency has taken on this issue.
Reporting Problems to the FDA:
Health care personnel employed by facilities that are subject to the FDA's user facility reporting requirements should follow the reporting procedures established by their facilities.
Prompt reporting of adverse events can help the FDA identify and…

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