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The subject bflex 2 regular 5.0 single-use bronchoscope was returned to verathon for evaluation.A verathon technical service representative (tsr) evaluated the returned device and was able to confirm the reported issue.The tsr confirmed that the light gray coating at the distal end of the bronchoscope was damaged and/or flaking off.The bronchoscope imaging worked as intended and no other damage was found.Following the reported incident, the verathon territory manager spoke with the customer who stated that there would have been no ultraviolet (uv) exposure to the bronchoscope as there is none in the storage room and it hangs appropriately until it would be ready for use.Upon completion of verathon's initial device evaluation, the bflex was provided to verathon's engineering department for further investigation.Should additional information become available, a supplemental report will be submitted in accordance with 21 cfr 803.56.Corrective action is not required at this time.Verathon will continue to monitor for trends.
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A customer reported that a bflex 2 regular 5.0 single-use bronchoscope was discovered to contain debris within the sterile packaging.Upon further inspection, the debris was found to originate from a compromised tip of the bronchoscope and was located further inside the tube where it would have been inserted.The bronchoscope was inspected prior to use, and there were no reports of patient involvement.
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B4, g3, g6, h2, h6, h11.Following verathon's initial device evaluation, the subject bflex 2 regular 5.0 single-use bronchoscope and accompanying endotracheal tube (ett) were provided to verathon's engineering department for further investigation.Visual inspection of the bronchoscope confirmed degradation of the tip sheath material, with evidence of material flaking and fragmentation.The degraded material was also observed within the ett.Testing and prior investigations demonstrated that exposure to ultraviolet (uv) light can cause degradation of the tip sheath materials, resulting in loss of mechanical integrity and flaking.Experimental replication of the failure mode was achieved by exposing sample devices to 405 nm uv light for extended durations, followed by mechanical agitation.No evidence of chemical exposure or alternative degradation mechanisms was identified on the returned device.While the customer reported no known uv exposure during storage, the device condition suggests exposure to environmental factors inconsistent with labeled storage conditions.The bflex 2 operations & maintenance manual (omm) specifies storage conditions that avoid uv exposure, specifically stating: "do not store endoscope pouches in direct sunlight or expose them to ultraviolet (uv) light.Such exposure can weaken the materials in the endoscope or its pouch." the most probable root cause of the reported issue is material degradation of the tip sheath due to unintended uv exposure, resulting in loss of material integrity.Verathon confirmed that the risk associated with the hazardous scenario has been adequately capture and characterized.No similar trends indicating a systemic manufacturing or design defect were identified.Corrective action is not required at this time.Verathon will continue to monitor for ongoing trends.
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