GALAXY SYSTEN
Report
- Report Number
- 3021325287-2026-00013
- Event Type
- Malfunction
- Date Received
- April 17, 2026
- Date of Event
- March 23, 2026
- Report Date
- April 17, 2026
- Manufacturer
- NOAH MEDICAL CORP.
- Product Code
- EOQ
- PMA / PMN Number
- K223144
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- 003
Narratives
THIS MDR HAS BEEN SUBMITTED BECAUSE RETRACTION, NOT EXPECTED BY THE USER, OCCURRED DURING A GALAXY-ASSISTED BIOPSY PROCEDURE. THE INVESTIGATION REVIEWED MANUFACTURING RECORDS, THE RETURNED BRONCHOSCOPE, AND SYSTEM LOG FILES FROM THE CASE. ANALYSIS DETERMINED THE OBSERVED RETRACTION WAS CAUSED BY A REGISTERED DISCONNECTION SIGNAL AT THE SCOPE MOUNTING INTERFACE. NO PATIENT HARM WAS REPORTED. THIS MDR WAS SUBMITTED PROACTIVELY BECAUSE RECURRENCE OF THIS MALFUNCTION COULD POTENTIALLY RESULT IN SERIOUS INJURY. INVESTIGATION FOUND THERE IS A DISCREPANCY BETWEEN THE USER-REPORTED EVENT AND SYSTEM BEHAVIOR. FOLLOWING A PARTIAL ARM RETRACTION AND SCOPE ATTACHED DURING RETRACTION (SADR) ALERT, RECOVERY ACTIONS WERE INITIATED; HOWEVER, THE SCOPE WAS NOT REMOVED FOR A SUFFICIENT DURATION TO ALLOW THE AUTO-RETRACTION SEQUENCE TO COMPLETE. SUBSEQUENTLY, THE USER PERFORMED THE CORRECT RECOVERY STEPS. DURING A SUBSEQUENT AUTO-RETRACTION ATTEMPT, A HIGH ARM VELOCITY ALERT WAS TRIGGERED. THIS IS A KNOWN SOFTWARE BEHAVIOR THAT MAY OCCUR DURING AUTO-RETRACTION INITIATION. NO COLLISION DETECTED ERROR WAS OBSERVED. THE ALERT RECOVERY STEPS ARE NOT CONSIDERED CONTRIBUTORY TO THE UNEXPECTED RETRACTION EVENT.
DURING A GALAXY SYSTEM-ASSISTED PROCEDURE, THE USER REPORTED ISSUES INCLUDING LOSS OF CAMERA VISUALIZATION, ARM RETRACTION, AND SYSTEM ERROR MESSAGES RELATED TO SCOPE ATTACHMENT. APPROXIMATELY HALFWAY THROUGH THE BIOPSY, THE BRONCHOSCOPE LOST CAMERA VISUALIZATION. APPROXIMATELY 3-5 SECONDS LATER, THE ROBOTIC ARM INITIATED A SLIGHT RETRACTION, CONSISTENT WITH BEHAVIOR OBSERVED DURING A SCOPE DISCONNECTION EVENT; THIS MOTION STOPPED SPONTANEOUSLY. SUBSEQUENTLY, SYSTEM ERROR MESSAGES WERE DISPLAYED, INCLUDING "SCOPE ATTACHED DURING E-STOP" AND "SCOPE ATTACHED DURING RETRACTION." THE USER REMOVED THE SCOPE AND ATTEMPTED RECOVERY; HOWEVER, THE ARM DID NOT RETRACT AT THAT TIME. AFTER THE ERROR MESSAGES CLEARED AND THE USER INTERFACE RETURNED, THE SYSTEM ENTERED ANOTHER E-STOP CONDITION AND DISPLAYED "HIGH INSERTION FORCE DETECTED," DESPITE NO USER INTERACTION WITH THE ARM OR CONTROLLER AND NO OBSERVED ARM MOVEMENT. FOLLOWING A SECOND SCOPE REMOVAL, THE SYSTEM SUCCESSFULLY COMPLETED A RECOVERY SEQUENCE, AND FULL ARM RETRACTION OCCURRED AS EXPECTED. THE SCOPE WAS REINSERTED, AND THE PROCEDURE WAS COMPLETED WITHOUT FURTHER ISSUE. NO PATIENT INJURY WAS REPORTED. ATTEMPTS TO GATHER ADDITIONAL PATIENT DEMOGRAPHICS WERE UNSUCCESSFUL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 977358 | GALAXY SYSTEN | GALAXY SYSTEM | EOQ | NOAH MEDICAL CORP. | GALB-001 | 6025110403 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |