FDA Adverse Event
Other
Summary report: N
OLYMPUS
MDR report key: 164418
·
Received April 24, 1998
Report
- Report Number
- 164418
- Event Type
- Other
- Date Received
- April 24, 1998
- Date of Event
- March 17, 1998
- Report Date
- April 20, 1998
- Manufacturer
- OLYMPUS AMERICA
- Product Code
- EQN
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NY, US
- Reporter Occupation
- ATTORNEY
Narratives
Description of Event or Problem · 1
AIRWAY FIRE DURING LASER BRONCHOSCOPY VIA PVC ENDOTRACHEAL TUBE. TUBE PROMPTLY REMOVED, BRONCHOSCOPE REINSERTED AND BRONCHIAL LAVAGE PERFORMED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | OLYMPUS | BRONCHOSCOPE | EQN | OLYMPUS AMERICA | BF-IT20D | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Other |