FDA Adverse Event Malfunction Summary report: N

COREDX?

MDR report key: 22500840 · Received July 14, 2025

Report

Report Number
3005099803-2025-03206
Event Type
Malfunction
Date Received
July 14, 2025
Date of Event
June 1, 2025
Report Date
November 18, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
EOQ
UDI-DI
08714729971054
PMA / PMN Number
K183085
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK H6: IMDRF DEVICE CODE A051104 CAPTURES THE REPORTABLE EVENT OF JAWS FAILURE TO CLOSE.

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK H6: IMDRF DEVICE CODE A051104 CAPTURES THE REPORTABLE EVENT OF JAWS FAILURE TO CLOSE. BLOCK H2: BLOCK B5 HAS BEEN UPDATED BASED ON ADDITIONAL INFORMATION RECEIVED ON JULY 17, 2025.

Additional Manufacturer Narrative · 0

BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK H6: IMDRF DEVICE CODE A051104 CAPTURES THE REPORTABLE EVENT OF JAWS FAILURE TO CLOSE. BLOCK H11: THE RETURNED COREDX BIOPSY FORCEPS WAS ANALYZED, AND IT WAS FOUND DURING VISUAL AND MICROSCOPE INSPECTION THAT THE JACKET WAS KINKED, ALSO THE LINKS WERE DETACHED. THE REPORTED PROBLEM OF JAWS FAILURE TO CLOSE WAS CONFIRMED. BASED ON ALL AVAILABLE INFORMATION, THE FAILURES OF JACKET KINKED AND LINKS DETACHED COULD BE CAUSED BY OPERATIONAL FACTORS SUCH AS THE TECHNIQUE USED FOR THE DEVICE MANIPULATION. ADDITIONALLY, THE DEVICE PROBABLY COULD HAVE SUFFERED THE DAMAGE DURING INSPECTION IF IT WAS NOT DONE CAREFULLY, OR IF EXCESSIVE FORCE WAS APPLIED WHEN THE SPOOL WAS SLID. THEREFORE, THE INVESTIGATION CONCLUSION CODE OF THIS EVENT IS "ADVERSE EVENT RELATED TO PROCEDURE" SINCE THE ADVERSE EVENTS OCCURRED DURING THE PROCEDURE AND THE DEVICE HAD NO INFLUENCE ON EVENT.

Additional Manufacturer Narrative · 0

BLOCK E1 INITIAL REPORTER EMAIL HAS BEEN UPDATED BASED ON THE ADDITIONAL INFORMATION OBTAINED ON NOVEMBER 14, 2025. BLOCK B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. BLOCK H6: IMDRF DEVICE CODE A051104 CAPTURES THE REPORTABLE EVENT OF JAWS FAILURE TO CLOSE. BLOCK H11: THE RETURNED COREDX BIOPSY FORCEPS WAS ANALYZED, AND IT WAS FOUND DURING VISUAL AND MICROSCOPE INSPECTION THAT THE JACKET WAS KINKED, ALSO THE LINKS WERE DETACHED. THE REPORTED PROBLEM OF JAWS FAILURE TO CLOSE WAS CONFIRMED. BASED ON ALL AVAILABLE INFORMATION, THE FAILURES OF JACKET KINKED AND LINKS DETACHED COULD BE CAUSED BY OPERATIONAL FACTORS SUCH AS THE TECHNIQUE USED FOR THE DEVICE MANIPULATION. ADDITIONALLY, THE DEVICE PROBABLY COULD HAVE SUFFERED THE DAMAGE DURING INSPECTION IF IT WAS NOT DONE CAREFULLY, OR IF EXCESSIVE FORCE WAS APPLIED WHEN THE SPOOL WAS SLID. THEREFORE, THE INVESTIGATION CONCLUSION CODE OF THIS EVENT IS "ADVERSE EVENT RELATED TO PROCEDURE" SINCE THE ADVERSE EVENTS OCCURRED DURING THE PROCEDURE AND THE DEVICE HAD NO INFLUENCE ON EVENT.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A COREDX BIOPSY FORCEPS WAS USED IN THE AIRWAY DURING AN ENDOBRONCHIAL ULTRASOUND (EBUS) PROCEDURE PERFORMED ON AN UNKNOWN DATE. DURING PREPARATION, THE JAWS OF THE FORCEPS WAS FOUND STUCK IN AN OPEN POSITION AND UNABLE TO CLOSE. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A COREDX BIOPSY FORCEPS WAS USED IN THE AIRWAY DURING AN ENDOBRONCHIAL ULTRASOUND (EBUS) PROCEDURE PERFORMED ON AN UNKNOWN DATE. DURING PREPARATION, THE JAWS OF THE FORCEPS WAS FOUND STUCK IN AN OPEN POSITION AND UNABLE TO CLOSE. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT. ADDITIONAL INFORMATION RECEIVED ON JULY 17, 2025. THE PROCEDURE WAS COMPLETED WITH ANOTHER COREDX FORCEPS.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A COREDX BIOPSY FORCEPS WAS USED IN THE AIRWAY DURING AN ENDOBRONCHIAL ULTRASOUND (EBUS) PROCEDURE PERFORMED ON AN UNKNOWN DATE. DURING PREPARATION, THE JAWS OF THE FORCEPS WAS FOUND STUCK IN AN OPEN POSITION AND UNABLE TO CLOSE. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A COREDX BIOPSY FORCEPS WAS USED IN THE AIRWAY DURING AN ENDOBRONCHIAL ULTRASOUND (EBUS) PROCEDURE PERFORMED ON AN UNKNOWN DATE. DURING PREPARATION, THE JAWS OF THE FORCEPS WAS FOUND STUCK IN AN OPEN POSITION AND UNABLE TO CLOSE. THE PROCEDURE WAS COMPLETED USING AN ALTERNATE DEVICE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1303441 COREDX? BRONCHOSCOPE (FLEXIBLE OR RIGID) EOQ BOSTON SCIENTIFIC CORPORATION M00515220 0036214718 08714729971054

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown