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 |