FDA Adverse Event Other Summary report: N

KARL STORZ

MDR report key: 1027742 · Received March 22, 2008

Report

Report Number
2020550-2008-00007
Event Type
Other
Date Received
March 22, 2008
Date of Event
February 25, 2008
Report Date
March 20, 2008
Manufacturer
KARL STORZ IMAGING
Product Code
FWG
Product Problem
Yes
Report Source
Distributor report
Reporter Location
MI, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

IT WAS ALLEGED THAT CONTROL BUTTON ON CAMERA CAME OFF INTO THE STERILE FIELD DURING PROCEDURE. OR PERSONNEL REPORT THAT THEY SPENT 1 HR SEARCHING FOR THE BUTTON. THEY FOUND THE BUTTON IN THE FOLDS OF THE PT DRAPE. PROCEDURE WAS COMPLETED WITH NO IMPACT OTHER THAN DELAY TO THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KARL STORZ HD IMAGE 1 CAMERA FWG KARL STORZ IMAGING 22220150-3 NA

Patients

Seq Age Sex Outcome Treatment
1 * Other