FDA Adverse Event Malfunction Summary report: N

BRONCHOFIBERSCOPE

MDR report key: 24616634 · Received March 17, 2026

Report

Report Number
9610595-2026-21735
Event Type
Malfunction
Date Received
March 17, 2026
Report Date
March 17, 2026
Manufacturer
AIZU OLYMPUS CO., LTD.
Product Code
EOQ
UDI-DI
04953170339998
PMA / PMN Number
K023984
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE AFFECTED DEVICE WAS RETURNED TO OLYMPUS AMERICA INC. AND UNDERWENT PHYSICAL INSPECTION BY QUALIFIED PERSONNEL. BASED ON THE FINDINGS OF THE COMPLETED INVESTIGATION, PROBABLE CAUSES WERE ASSESSED, INCLUDING DAMAGE OR DETERIORATION OF COMPONENTS, ELECTRICAL ISSUES, ENVIRONMENTAL TEMPERATURE FACTORS, AND MAINTENANCE-RELATED CONCERNS. THE MOST PROBABLE CAUSE OF THE REPORTED COMPLAINT IS EXPECTED OR RANDOM COMPONENT FAILURE, WITH NO DESIGN DEFICIENCY OR MANUFACTURING NON-CONFORMANCE IDENTIFIED AS A CONTRIBUTING FACTOR TO THE REPORTED EVENT. 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

DURING THE DEVICE EVALUATION, IT WAS FOUND THAT THE RETURNED BRONCHOFIBERSCOPE EXHIBITED FORCEPS CHANNEL PORT STICKY AND SHAVED, AND THE CONTROL UNIT DISPLAYED CORROSION DUE TO WATER LEAKAGE. NO PATIENTS WERE INVOLVED IN ASSOCIATION WITH THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
677474 BRONCHOFIBERSCOPE BRONCHOFIBERSCOPE EOQ AIZU OLYMPUS CO., LTD. BF-TE2 04953170339998

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown