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