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