FDA Adverse Event
Malfunction
Summary report: N
ZEPHYR ENDOBRONCHIAL VALVE
MDR report key: 22043820
·
Received May 19, 2025
Report
- Report Number
- 22043820
- Event Type
- Malfunction
- Date Received
- May 19, 2025
- Date of Event
- May 5, 2025
- Report Date
- May 8, 2025
- Manufacturer
- PULMONX CORP.
- Product Code
- NJK
- UDI-DI
- 00811907030225
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- VA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
UPON OPENING THE VALVE CARTRIDGE, THE VALVE WAS PARTIALLY DEPLOYED IN CARTRIDGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2049547 | ZEPHYR ENDOBRONCHIAL VALVE | VALVE, PULMONARY | NJK | PULMONX CORP. | EBV-TS-4.0-LP | 506945V71 | 00811907030225 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 67 YR | Female |