EVIS LUCERA ELITE BRONCHOVIDEOSCOPE
Report
- Report Number
- 9610595-2026-05656
- Event Type
- Malfunction
- Date Received
- January 16, 2026
- Date of Event
- January 2, 2026
- Report Date
- February 11, 2026
- Manufacturer
- AIZU OLYMPUS CO., LTD.
- Product Code
- EOQ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- EI
- Reporter Occupation
- 501
Narratives
THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED TO PROVIDE THE RESULTS OF THE FINAL INVESTIGATION. UPDATED FIELDS: D8, H2, H3, H6 (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, INVESTIGATION CONCLUSIONS), H11 CORRECTED FIELD: B5 - DESCRIBE EVENT OR PROBLEM UPDATED TO ADD THE COMMON DEVICE NAME. H6: MEDICAL DEVICE PROBLEM CODE WAS CHANGED TO A090203 - ERRATIC OR INTERMITTENT DISPLAY THE DEVICE WAS RETURNED TO OLYMPUS FOR INSPECTION, AND THE REPORTED FAILURE WAS CONFIRMED. A DEFINITIVE ROOT CAUSE COULD NOT BE IDENTIFIED. BASED ON THE RESULTS OF THE INVESTIGATION, IT IS LIKELY THE FOLLOWING LED TO THE NOISY IMAGE MALFUNCTION: CORROSION AND AN ELECTRICAL/ELECTRONIC COMPONENT PROBLEM; EXPECTED OR RANDOM COMPONENT FAILURE WITHOUT ANY DESIGN OR MANUFACTURING ISSUE. OLYMPUS WILL CONTINUE TO MONITOR FIELD PERFORMANCE FOR THIS DEVICE.
THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETED OR IF ADDITIONAL INFORMATION BECOMES AVAILABLE.
IT WAS REPORTED THAT DURING SET UP / INSPECTION FOR USE, THE SUBJECT BRONCHOVIDEOSCOPE HAD INTERFERENCE LINES. THERE WAS NO HARM OR INJURY REPORTED.
IT WAS REPORTED THAT DURING SET UP / INSPECTION FOR USE, THE SUBJECT SCOPE/PROBE DEVICE HAD INTERFERENCE LINES. THERE WAS NO HARM OR INJURY REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 165413 | EVIS LUCERA ELITE BRONCHOVIDEOSCOPE | BRONCHOVIDEOSCOPE | EOQ | AIZU OLYMPUS CO., LTD. | BF-P290 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |