FDA Adverse Event Malfunction Summary report: N

ACQUIRE? PULMONARY

MDR report key: 23268402 · Received October 10, 2025

Report

Report Number
3005099803-2025-04925
Event Type
Malfunction
Date Received
October 10, 2025
Date of Event
July 8, 2025
Report Date
October 10, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
EOQ
PMA / PMN Number
K163248
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LE
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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 G4: THE REMAINING PREMARKET/510(K) ARE K151315 AND K151895; REPORTED HERE AS PREMARKET/510(K) EXCEEDED THE CHARACTER LIMIT FOR THE DESIGNATED FIELD. BLOCK H6: IMDRF IMPACT CODE F1001 CAPTURES THE REPORTABLE EVENT OF ABSENCE OF TREATMENT.

Description of Event or Problem · 0

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT AN ACQUIRE PULMONARY NEEDLE WAS USED DURING AN ENDOBRONCHIAL ULTRASOUND PROCEDURE ON (B)(6) 2025. UPON UNPACKING, THE VALVE WAS BROKEN. THE PROCEDURE WAS NOT COMPLETED SUCCESSFULLY. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THIS EVENT, HOWEVER IT WAS NOTED THAT THE PATIENT WAS HOSPITALIZED OR THEIR HOSPITALIZATION WAS PROLONGED. BOSTON SCIENTIFIC HAS BEEN UNABLE TO OBTAIN ADDITIONAL INFORMATION REGARDING THE DETAILS OF THE HOSPITALIZATION, DESPITE GOOD FAITH EFFORTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
303936 ACQUIRE? PULMONARY BRONCHOSCOPE (FLEXIBLE OR RIGID) EOQ BOSTON SCIENTIFIC CORPORATION M00552350 0034218335

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown