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