FDA Adverse Event
Death
Summary report: N
MONARCH ENDOSCOPY PLATFORM
MDR report key: 21337731
·
Received February 7, 2025
Report
- Report Number
- 3014447948-2025-00002
- Event Type
- Death
- Date Received
- February 7, 2025
- Date of Event
- January 13, 2025
- Report Date
- February 7, 2025
- Manufacturer
- AURIS HEALTH, INC.
- Product Code
- EOQ
- UDI-DI
- B634MON000005010
- PMA / PMN Number
- K211493
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT CODED DURING PROCEDURE, THE PHYSICIAN HAD CONDUCTED 4-BIOPSIES AND ON THE 5TH BIOPSY AN ABNORMAL AMOUNT OF BLOOD WAS COMING THROUGH THE ET TUBE. THE SCOPE AND THE PATIENT INTRODUCER WERE REMOVED AND THEY WERE ABLE TO STABILIZE THE PATIENT IN THE ROOM. THE PATIENT WAS MOVED TO ICU WHERE THEY LATER CODED AND PASSED AWAY. THE PHYSICIAN STATED THAT THE MONARCH DID NOT CAUSE OR CONTRIBUTE TO THE DEATH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 97330 | MONARCH ENDOSCOPY PLATFORM | BRONCHOSCOPE (FLEXIBLE OR RIGID) AND ACCESSORIES | EOQ | AURIS HEALTH, INC. | B634MON000005010 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Death |