FDA Adverse Event
Injury
Summary report: N
ASCOPE 4 BRONCHO REGULAR
MDR report key: 11848417
·
Received May 19, 2021
Report
- Report Number
- 9610691-2021-00007
- Event Type
- Injury
- Date Received
- May 19, 2021
- Date of Event
- March 24, 2021
- Report Date
- April 21, 2021
- Manufacturer
- AMBU A/S
- Product Code
- EOQ
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
THE DOCTOR WAS PERFORMING A BRONCHOSCOPY BED PROCEDURE TO A PATIENT WITH TRACHEOSTOMY. THE PATIENT WAS PRESENTING STENOSIS AT LOWER LEFT LOBAR BRONCHUS. IN ORDER TO OVERCOME THE STENOSIS THE DOCTOR NEEDED TO APPLY MORE PRESSURE AND FORCE. HE WAS ABLE TO OVERCOME THE STENOSIS BUT WHEN THEY NEEDED TO REMOVE THE BRONCHOSCOPE THE DOCTOR NOTICED A RESISTANCE. THE BRONCHOSCOPE COLLAPSED AND THE DOCTOR WAS NOT ABLE TO REMOVE IT. TO BE ABLE TO REMOVE THE BRONCHOSCOPE THE TRACHEOSTOMY TUBE HAD TO BE REMOVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 745167 | ASCOPE 4 BRONCHO REGULAR | FLEXIBLE VIDEO BRONCHOSCOPE, SINGLE-USE | EOQ | AMBU A/S | 476001000 | 1000427378 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Required Intervention |