FDA Adverse Event
Malfunction
Summary report: N
EVIS EXERA III BRONCHOVIDEOSCOPE
MDR report key: 25191166
·
Received May 15, 2026
Report
- Report Number
- 9610595-2026-39842
- Event Type
- Malfunction
- Date Received
- May 15, 2026
- Date of Event
- April 11, 2026
- Report Date
- May 15, 2026
- Manufacturer
- AIZU OLYMPUS CO., LTD.
- Product Code
- EOQ
- PMA / PMN Number
- K250862
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- 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 BRONCHOVIDEOSCOPE HAD A SCOPE COMMUNICATION ERROR DURING INSPECTION FOR USE. THERE WERE NO REPORTS OF PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 132723 | EVIS EXERA III BRONCHOVIDEOSCOPE | BRONCHOVIDEOSCOPE | EOQ | AIZU OLYMPUS CO., LTD. | BF-P190 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |