DISPOSABLE DISTAL ATTACHMENT D-201-12704 (REF N3529240)Recalls & reported problems
Olympus Medical Systems Corp. · Class 2
All models of DISPOSABLE DISTAL ATTACHMENT (14)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 3
- Deaths reported
- 0
- Injuries reported
- 3
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 3 adverse event reports that list this exact device (DI 04953170453878), received between Jan 3, 2024 and Feb 12, 2024 — classified as 3 injuries.
The most frequently reported specific device problem is “Detachment of Device or Device Component” (3 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.
Reports received per month
Most reported problems
Device problems
- Detachment of Device or Device Component3
- Crack2
Patient problems
- No Clinical Signs, Symptoms or Conditions3
Recent adverse event reports
The 3 most recent of 3 reports, in the reporter's own words as published by the FDA.
InjuryFeb 12, 2024Crack; Detachment of Device or Device Component; Crack; Detachment of Device or Device Component
IT WAS REPORTED THE OLYMPUS DISPOSABLE DISTAL ATTACHMENT FELL OFF INSIDE THE PATIENT'S BODY DURING A DIAGNOSTIC PROCEDURE. THE DEVICE WAS COLLECTED IMMEDIATELY USING A COLLECTION DEVICE AND THE PROCEDURE WAS COMPLETED WITH THE SAME SET OF EQUIPMENT. THE RECOVERED DISTAL ATTACHMENT WAS NOTED TO HAVE CRACKS. THERE WAS NO REPORTED PATIENT IMPACT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18684655 ↗InjuryFeb 7, 2024Crack; Detachment of Device or Device Component; Crack; Detachment of Device or Device Component
IT WAS REPORTED THE OLYMPUS DISPOSABLE DISTAL ATTACHMENT FELL OFF INSIDE THE PATIENT'S BODY DURING A DIAGNOSTIC PROCEDURE. THE DEVICE WAS COLLECTED IMMEDIATELY USING A COLLECTION DEVICE AND THE PROCEDURE WAS COMPLETED WITH THE SAME SET OF EQUIPMENT. THE RECOVERED DISTAL ATTACHMENT WAS NOTED TO HAVE CRACKS. THERE WAS NO REPORTED PATIENT IMPACT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18658081 ↗InjuryJan 3, 2024Detachment of Device or Device Component; Detachment of Device or Device Component
THE CUSTOMER REPORTED TO OLYMPUS THAT THE DISPOSABLE DISTAL ATTACHMENT FELL OUT WITHIN THE PATIENT'S BODY IMMEDIATELY AFTER INSERTION. THE FALLEN ITEM WAS RECOVERED, AND THE UNSPECIFIED PROCEDURE WAS COMPLETED WITH SIMILAR EQUIPMENT. THERE WAS NO EFFECT TO THE PATIENT. THERE WAS NO FURTHER HARM OR USER INJURY REPORTED DUE TO THE EVENT. AT THE TIME OF INSPECTION BEFORE USE, THE DEVICE REPORTEDLY FELT LOOSE, AND EVEN THOUGH IT WAS FIRMLY ATTACHED, THE ABOVE ISSUE OCCURRED. AFTER CHECKING WITH THE PERSON IN CHARGE OF THE FACILITY, THEY ALSO CHECKED OTHER IDENTICAL PRODUCTS, BUT ONLY THE ACTUAL PRODUCT WAS FOUND TO BE LOOSE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18435711 ↗
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- PENTAX EG27-i10Hoya Corporation · Gastroscope and accessories, flexible/rigid261 reports
- EVIS EXERA II COLONOVIDEOSCOPE OLYMPUS CF TYPE H180ALOlympus Medical Systems Corp. · Gastroscope and accessories, flexible/rigid2 deaths252 reports
- BALLOON MAJ-1351Olympus Medical Systems Corp. · Gastroscope and accessories, flexible/rigid174 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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