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Additional information from the noah clinical representative stated that the pneumothorax was identified after the 4th tilt+ imaging acquisition, and the physician confirmed suspicion of the pneumothorax through continuous fluoroscopy shots.The target lesion was a 7 mm lesion in the lll and was described as difficult to access and located in a high-risk location near a fissure.Sampling was primarily obtained for infectious disease evaluation.The physician did not attribute the pneumothorax to the galaxy system and stated the event was due to the lesion location and biopsy tool puncture.No galaxy system malfunctions, errors, or abnormal system behavior were reported or observed during the procedure.The pneumothorax was treated with chest tube placement.No additional intervention besides the chest tube was reported.The patient was transferred from another hospital in poor condition and was admitted after the procedure; however, no additional information was provided regarding admission duration, complications during admission, or discharge condition.Pre-existing conditions were not provided.Reported concomitant devices included a biopsy needle, brand names were not recalled.The bronchoscope was discarded and was not available for return or failure analysis.Manufacturing records were reviewed and confirmed the bronchoscope passed final qa/qc check prior to release.Video review demonstrated that the galaxy system functioned as intended.The lesion was a difficult 7 mm lll lesion located near the periphery and in a high-risk location near a fissure.Biopsy activity was performed using tools consistent with a needle and forceps.The user reached approximately 11-13 mm from target center and performed biopsy passes within the af circle.During later biopsy activity, approximately six forceps passes were performed, and one forceps pass appeared inferior to the lesion near the periphery before the tool was quickly retracted and no further biopsies were performed.The bronchoscope was then retracted, and the chest cavity was assessed using live fluoroscopy.A cart brakes disengaged alert was observed near the conclusion of the procedure.No galaxy system malfunctions, errors, or abnormal system behavior related to the reported pneumothorax were observed.The physician's attribution to lesion location and biopsy tool puncture is supported by the available complaint information and video review, and the event is most consistent with procedural and anatomical factors rather than a galaxy system malfunction.This mdr has been submitted because the patient experienced a pneumothorax requiring chest tube placement and hospital admission following a galaxy-assisted bronchoscopy procedure.No malfunctions, errors, or abnormal system behavior of the galaxy system or bronchoscope related to the patient injury were reported or observed during the investigation.The physician attributed the event to the high-risk lesion location and biopsy tool puncture.
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