On (b)(6) 2020, the patient underwent a bronchoscopic lung volume reduction (blvr) procedure with zephyr valves.One of the sizing wings of the zephyr 4.0-j endobronchial delivery catheter came off while deploying a zephyr 4.0 valve into the apical segment of the right upper lobe (rul).The detached sizing wing became stuck next to the valve in the airway, and the physician was unable to retrieve the sizing wing with rat tooth graspers.The valve was explanted in order to retrieve the detached sizing wing which was successfully removed.Afterwards, another zephyr 4.0 valve was successfully implanted as a replacement.
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