FDA Warns Three Scope Makers
18 August 2015 - 9:00AM
Dow Jones News
The Food and Drug Administration sent warning letters to the
three makers of a specialized medical device that has been linked
to outbreaks of so-called superbug infections at U.S.
hospitals.
The FDA conducted inspections of the manufacturing plants in the
spring and said the companies either didn't adequately report
infections or failed to provide sufficient evidence that its
cleaning procedures work.
The device, known as a duodenoscope, is snaked down the
esophagus into the top of the small intestine and is used in
diagnostic and treatment procedures related to cancer and other
conditions. The FDA has said the devices, which are cleaned and
reused, have led to outbreaks of antibiotic-resistant infections
even when hospitals followed manufacturers' cleaning
instructions.
The three manufacturers, all headquartered in Japan, are Olympus
Medical Systems Corp., Fujifilm Corp. and the Pentax division of
Hoya Corp. The FDA's warning letters stemmed from inspections the
agency conducted at manufacturing plants in Japan and the U.S., as
well as from bacterial infection incidents.
Olympus said it is reviewing FDA correspondence before
commenting.
Hoya's Pentax unit said it is "working closely with FDA to
resolve the noted issues and ensuring that our devices meet the
highest standards of safety and quality."
"We consider these issues to be of utmost importance," said Mark
Koppel, chief medical officer of Pentax Medical Americas.
Fujifilm said it takes the issue seriously and is working
closely with the FDA.
"Actions have been and will continue to be taken to ensure that
our products and processes meet FDA requirements, and pose no risks
to the health and safety of the public," Fujifilm said in a
statement.
The scopes have been associated with infection outbreaks
involving hundreds of people at U.S. hospitals in Seattle, Los
Angeles and the Chicago area, as well as at hospitals overseas. The
FDA has been grappling with the complex structure of the devices,
which have proven to be extremely difficult to sterilize before
being reused.
In a letter to Olympus, the FDA criticized the company for not
notifying the agency in a timely fashion after it found that one of
its devices "may have caused or contributed to a death or serious
injury." FDA officials said the company became aware of an illness
outbreak involving 16 patients in May 2012, but that FDA wasn't
informed about illnesses until this year.
Hoya Corp. was criticized in a warning letter about a number of
violations, including one for not notifying the agency within 30
days of the event, and for not notifying the agency of other events
that could have resulted in death or serious injury to
patients.
In the case of Fujifilm, the FDA found a range of violations
related to manufacturing and complaint handling and said the agency
"reviewed your firm's responses and concluded that they are not
adequate."
Write to Thomas M. Burton at tom.burton@wsj.com
Subscribe to WSJ: http://online.wsj.com?mod=djnwires
(END) Dow Jones Newswires
August 17, 2015 18:45 ET (22:45 GMT)
Copyright (c) 2015 Dow Jones & Company, Inc.
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