FDA Adverse Event
Malfunction
Summary report: N
EVIS EXERA II ULTRASONIC BRONCHOFIBERVIDEOSCOPE
MDR report key: 24939870
·
Received April 21, 2026
Report
- Report Number
- 3002808148-2026-12321
- Event Type
- Malfunction
- Date Received
- April 21, 2026
- Date of Event
- April 8, 2026
- Report Date
- April 21, 2026
- Manufacturer
- SHIRAKAWA OLYMPUS CO., LTD.
- Product Code
- PSV
- UDI-DI
- 04953170356360
- PMA / PMN Number
- K070983
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE INVESTIGATION IS ONGOING. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE INVESTIGATION IS COMPLETED OR IF ADDITIONAL INFORMATION BECOMES AVAILABLE.
Description of Event or Problem · 0
IT WAS REPORTED THE BRONCHOFIBERVIDEOSCOPE DID NOT FEEL CLEAN ENOUGH AFTER REPEATED WASHING AND REPROCESSING. THERE WERE NO REPORTS OF PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 467220 | EVIS EXERA II ULTRASONIC BRONCHOFIBERVIDEOSCOPE | ULTRASONIC BRONCHOFIBERVIDEOSCOPE | PSV | SHIRAKAWA OLYMPUS CO., LTD. | BF-UC180F | 04953170356360 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |