BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FUJINON

    MDR report key: 2476095 · Received June 21, 2011

    Report

    Report Number
    2476095
    Event Type
    Injury
    Date Received
    June 21, 2011
    Date of Event
    June 3, 2011
    Report Date
    June 3, 2011
    Manufacturer
    FUJINON, INC
    Product Code
    EOQ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING BRONCHOSCOPY PROCEDURE BEING PERFORMED PHYSICIAN WENT IN LEFT SIDE TO WASH - NO DIFFICULTIES THEN PULLED BACK TO GO INTO THE RIGHT LUNG NOTICED SCOPE GETTING CAUGHT, DIFFICULTY COMING OUT THE ET TUBE, THEN NOTICED BLACK ALL OVER THE PHYSICIANS HANDS, STOPPED PULLING THOUGHT MAYBE THE SCOPE, THEN IT STARTED BUCKLING IN ON ITSELF STOPPED TO EXTUBATE PATIENT TO GET SCOPE OUT. THEN SAW FIBERS WERE EXPOSED. RE-INSERTED ANOTHER ETT TUBE TO INTUBATE PATIENT TO CONTINUE PROCEDURE LAVAGED THE PATIENT TILL ALL PARTICLES WERE REMOVED FROM THE BROKEN DOWN SCOPE. THE TIP APPEARED TO HAVE MELTED OR DISINTEGRATED AND THE ETT TUBE WAS STUCK TO THE SCOPE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FUJINON BRONCOSCOPE EOQ FUJINON, INC EB 47OT

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Other| R