FDA Adverse Event Malfunction Summary report: N

EXPECT PULMONARY

MDR report key: 15974677 · Received December 13, 2022

Report

Report Number
3005099803-2022-07253
Event Type
Malfunction
Date Received
December 13, 2022
Date of Event
November 15, 2022
Report Date
December 13, 2022
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
EOQ
UDI-DI
08714729861430
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PREMARKET / 510(K) #: K163248 & K151895. (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT AN EXPECT PULMONARY NEEDLE WAS USED IN THE BRONCHUS DURING AN ENDOBRONCHIAL ULTRASOUND (EBUS) PROCEDURE PERFORMED ON (B)(6) 2022. DURING THE PROCEDURE, THE NEEDLE COULD BE PUSHED THROUGH THE DEVICE AND FASTENED WITHOUT ANY PROBLEMS. WHEN IT CAME TO PUNCTURING THE NEEDLE, THE CATHETER COULD NOT BE GUIDED OUT OF THE DEVICE AND THEREFORE NO PUNCTURE COULD TAKE PLACE. THE EXAMINATION WAS TERMINATED, AND THEY ATTEMPTED TO USE THE NEEDLE OUTSIDE OF THE PATIENT. IT DIDN'T WORK EITHER. WHEN THEY WANTED TO WASH THE EBUS DEVICE, THERE WAS A LARGE LEAK IN THE DEVICE. THE TWO EBUS SCOPES NOW HAD TO BE SENT FOR REPAIRS. THE PROCEDURE WAS RESCHEDULED. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2040185 EXPECT PULMONARY BRONCHOSCOPE (FLEXIBLE OR RIGID) EOQ BOSTON SCIENTIFIC CORPORATION M00558220 0030153550 08714729861430

Patients

Seq Age Sex Outcome Treatment
1 Unknown