FDA Adverse Event
Death
Summary report: N
MONARCH ENDOSCOPY PLATFORM (MONARCH PLATFORM)
MDR report key: 24274522
·
Received February 5, 2026
Report
- Report Number
- 3014447948-2026-00004
- Event Type
- Death
- Date Received
- February 5, 2026
- Date of Event
- September 13, 2023
- Report Date
- February 5, 2026
- Manufacturer
- AURIS HEALTH, INC.
- Product Code
- EOQ
- UDI-DI
- B634MON0000060
- PMA / PMN Number
- K211493
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
DURING BRONCHOSCOPY, THE PATIENT BECAME HYPOTENSIVE. THE CRITICAL CARE PULMONOLOGY TEAM WAS CALLED TO THE BEDSIDE. A CHEST TUBE WAS INSERTED AND AN IMMEDIATE GUSH OF AIR WAS OBSERVED. SHORTLY THEREAFTER THE PATIENT ARRESTED AND CPR WAS INITIATED. A LARGER-BORE CHEST TUBE WAS PLACED, RESULTING AGAIN IN A GUSH OF AIR. THE PATIENT WAS PRONOUNCED DEAD BY THE CRITICAL CARE TEAM. NECROTIC MATERIAL WAS EXPELLED DURING THE EVENT. A RAB (ROBOT-ASSISTED BRONCHOSCOPY) WITH 7-NEEDLE ASPIRATION WAS PERFORMED. THE DEATH WAS PRESUMED TO BE DUE TO A TENSION PNEUMOTHORAX. NO ISSUES WERE REPORTED WITH THE DEVICES USED DURING THE PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 335841 | MONARCH ENDOSCOPY PLATFORM (MONARCH PLATFORM) | BRONCHOSCOPE (FLEXIBLE OR RIGID) AND ACCESSORIES | EOQ | AURIS HEALTH, INC. | B634MON0000060 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Death| R | PERIVIEW NEEDLE |