FDA Adverse Event Injury Summary report: N

EVIS LUCERA BRONCHOVIDEOSCOPE

MDR report key: 10526573 · Received September 14, 2020

Report

Report Number
8010047-2020-06463
Event Type
Injury
Date Received
September 14, 2020
Report Date
September 14, 2020
Manufacturer
OLYMPUS MEDICAL SYSTEMS CORP.
Product Code
EOQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE SUBJECT DEVICE WAS NOT RETURNED TO OLYMPUS MEDICAL SYSTEMS CORP (OMSC). THE MALFUNCTION OF THE SUBJECT DEVICE CONCERNING THIS CASE HAS NOT BEEN REPORTED. THE EXACT CAUSE COULD NOT BE DETERMINED. IF ADDITIONAL INFORMATION BECOMES AVAILABLE, THIS REPORT WILL BE SUPPLEMENTED.

Description of Event or Problem · 1

OLYMPUS MEDICAL SYSTEMS CORP. (OMSC) RECEIVED A LITERATURE TITLED "BRONCHOSCOPIC ARGON PLASMA COAGULATION, HIGH-FREQUENCY RADIO-WAVE ELECTROSURGERY, AND CRYOTHERAPY FOR TRACHEAL STENOSIS". THE LITERATURE REPORTED THE RESULT OF 80 PATIENTS WITH TRACHEAL STENOSIS OF THE BRONCHOSCOPIC ARGON PLASMA COAGULATION OR/AND HIGH-FREQUENCY RADIO-WAVE ELECTROSURGERY USING OLYMPUS BRONCHOVIDEOSCOPE FROM JANUARY 2016 TO JUNE 2019. IN THE SUBJECT CASES, INFECTION OCCURRED IN 2 PATIENTS. THEREFORE, OMSC WILL SUBMIT TWO MEDICAL DEVICE REPORTS (MDR) DEPENDING ON THE EVENT. THIS REPORT IS 1 OF 2 REPORTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
991711 EVIS LUCERA BRONCHOVIDEOSCOPE BRONCHOVIDEOSCOPE EOQ OLYMPUS MEDICAL SYSTEMS CORP. BF-1T260

Patients

Seq Age Sex Outcome Treatment
1 Other