| Brand Name | MONARCH ENDOSCOPY PLATFORM |
| Common Device Name | BRONCHOSCOPE (FLEXIBLE OR RIGID) AND ACCESSORIES |
| Manufacturer (Section D) |
| AURIS HEALTH, INC. |
| 5490 great america pkwy |
| santa clara CA 95054 |
|
| Manufacturer Contact |
|
april
king
|
| 5490 great america pkwy |
| santa clara, CA 95054
|
|
4082161590
|
|
| MDR Report Key | 24867158 |
| Report Number | 3014447948-2026-00017 |
| Device Sequence Number | 10476709 |
| Product Code |
EOQ
|
| UDI-Device Identifier | B634MON0000060 |
| UDI-Public | +B634MON0000060/16D20230619 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MI |
| Initial Reporter Country | US |
| PMA/510(K) Number | K211493 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
04/13/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Health Professional
|
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 03/31/2026 |
| Initial Report FDA Received Date | 04/13/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 06/19/2023 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Patient Sequence Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | FNA NEEDLES 21G (OLYMPUS); PERIVIEW FLEX 20G NEEDLE , LO# FE10185 ((OLYMPUS)) |
| Outcome Attributed to Adverse Event |
Hospitalization;
|
| Patient Sex | Unknown |