FDA Adverse Event Malfunction Summary report: N

EXPECT PULMONARY

MDR report key: 22202918 · Received June 13, 2025

Report

Report Number
3005099803-2025-02636
Event Type
Malfunction
Date Received
June 13, 2025
Date of Event
May 1, 2025
Report Date
June 13, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
EOQ
UDI-DI
08714729861416
PMA / PMN Number
K151315
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK D2B: THE REMAINING PRO CODE (PRODUCT CODE) IS FCG; REPORTED HERE AS PRO CODES (PRODUCT CODES) EXCEEDED THE CHARACTER LIMIT FOR THE DESIGNATED FIELD. BLOCK D4 AND H4: THE COMPLAINANT WAS UNABLE TO PROVIDE THE SUSPECT DEVICE LOT NUMBER; THEREFORE, THE LOT EXPIRATION AND DEVICE MANUFACTURE DATES ARE UNKNOWN. BLOCK G4: THE REMAINING PREMARKET/510(K) ARE K151895 AND K163248; REPORTED HERE AS PREMARKET/510(K) EXCEEDED THE CHARACTER LIMIT FOR THE DESIGNATED FIELD. BLOCK H6: IMDRF DEVICE CODE A041001 CAPTURES THE REPORTABLE EVENT OF PUNCTURED SHEATH.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT AN EXPECT PULMONARY NEEDLE WAS USED IN THE LUNGS DURING AN EBUS (ENDOBRONCHIAL ULTRASOUND) BRONCHOSCOPY PROCEDURE ON AN UNKNOWN DATE. DURING THE PROCEDURE, THE TIP OF THE NEEDLE CAME OUT OF THE SHEATH. THE PROCEDURE WAS COMPLETED USING ANOTHER EXPECT PULMONARY NEEDLE. THERE WERE NO REPORTED PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
636630 EXPECT PULMONARY BRONCHOSCOPE (FLEXIBLE OR RIGID) EOQ BOSTON SCIENTIFIC CORPORATION M00558250 08714729861416

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown