FDA Adverse Event
Other
Summary report: N
PENTAX ENDOSCOPY ULTRASOUND
MDR report key: 19722207
·
Received July 10, 2024
Report
- Report Number
- MW5157204
- Event Type
- Other
- Date Received
- July 10, 2024
- Date of Event
- June 4, 2024
- Report Date
- July 8, 2024
- Manufacturer
- HOYA CORPORATION PENTAX LIFECARE DIVISION
- Product Code
- ODG
- Report Source
- Voluntary report
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
AFTER THE ESOPHAGOGASTRODUODENOSCOPY WITH ENDOSCOPIC ULTRASOUND, MULTIPLE RED MARKINGS IN THE GASTRIC TISSUE WAS NOTICED. NO BLEEDING NOTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2386359 | PENTAX ENDOSCOPY ULTRASOUND | ENDOSCOPIC ULTRASOUND SYSTEM, GASTROENTEROLOGY-UROLOGY | ODG | HOYA CORPORATION PENTAX LIFECARE DIVISION | EG38-J10UT |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Prefer Not To Disclose |