FDA Adverse Event Malfunction Summary report: N

EVIS LUCERA ELITE BRONCHOVIDEOSCOPE

MDR report key: 23330868 · Received October 17, 2025

Report

Report Number
9610595-2025-26588
Event Type
Malfunction
Date Received
October 17, 2025
Date of Event
September 8, 2025
Report Date
October 17, 2025
Manufacturer
AIZU OLYMPUS CO., LTD.
Product Code
EOQ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS RETURNED TO OLYMPUS FOR INSPECTION. BASED ON THE RESULTS OF THE INVESTIGATION AND THE INFORMATION PROVIDED, IT IS LIKELY DUE TO SOME KIND OF STRESS SUCH AS DAMAGE OR DETERIORATION OF PARTS. THE MOST PROBABLE CAUSE OF THIS COMPLAINT IS EXPECTED OR RANDOM COMPONENT FAILURE WITHOUT ANY DESIGN OR MANUFACTURING ISSUE. THE ROOT CAUSE COULD NOT BE IDENTIFIED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.

Description of Event or Problem · 0

IT WAS OBSERVED DURING THE DEVICE INSPECTION THAT SUBJECT DEVICE HAD THE ADHESIVE ON THE LIGHT GUIDE LENS COME OFF. THERE WERE NO REPORTS OF PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1541852 EVIS LUCERA ELITE BRONCHOVIDEOSCOPE BRONCHOVIDEOSCOPE EOQ AIZU OLYMPUS CO., LTD. BF-P290

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown