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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AIZU OLYMPUS CO., LTD. BRONCHOVIDEOSCOPE

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AIZU OLYMPUS CO., LTD. BRONCHOVIDEOSCOPE Back to Search Results
Model Number BF-P150
Medical Device Problem Code Insufficient Flow or Under Infusion (2182)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/23/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during reprocessing, the broncho videoscope had poor aspiration with narrow scope cavity.There were no reports of patient involvement.
 
Additional Manufacturer Narrative
The device was returned to olympus for inspection and the reported failure was confirmed.Based on the results of the investigation, a definitive root cause could not be identified.Should additional relevant information become available, a supplemental report will be submitted.Olympus will continue to monitor complaints for this device.
 
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Brand Name
BRONCHOVIDEOSCOPE
Common Device Name
BRONCHOVIDEOSCOPE
Manufacturer (Section D)
AIZU OLYMPUS CO., LTD.
3-1-1 niiderakita
aizuwakamatsu-shi, fukushima 965-8 520
JA  965-8520
Manufacturer (Section G)
AIZU OLYMPUS CO., LTD.
3-1-1 niiderakita
aizuwakamatsu-shi, fukushima 965-8 520
JA   965-8520
Manufacturer Contact
todd brill
800 west park drive
westborough, MA 01581
+1(508)207-7661
MDR Report Key50525074
Report Number9610595-2026-71101
Device Sequence Number6000410
Product Code EOQ
UDI-Device Identifier04953170308178
UDI-Public04953170308178
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K023984
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,User Facility
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 08/31/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberBF-P150
Device Lot Number2140436
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer06/26/2026
Is the Reporter a Health Professional? No
Initial Date Received by Manufacturer 06/23/2026
Initial Report FDA Received Date08/31/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/29/2011
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
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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