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 |