BEUDAMED
    FDA Adverse Event Other Summary report: N

    KARL STORZ

    MDR report key: 1100843 · Received May 16, 2008

    Report

    Report Number
    2020550-2008-00010
    Event Type
    Other
    Date Received
    May 16, 2008
    Date of Event
    April 15, 2008
    Report Date
    May 15, 2008
    Manufacturer
    KARL STORZ GMBH & CO. KG
    Product Code
    HRX
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    NY, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    TWO DRS WERE PERFORMING A WRIST AND SHOULDER ARTHROSCOPY CONCURRENTLY WHEN THE SCOPE BEING USED IN THE WRIST PROCEDURE STOPPED WORKING; DR HAD NO VISUALS AND NO BACKUP SCOPE SO THE WRIST PROCEDURE WAS STOPPED AT THAT TIME. THE SHOULDER PROCEDURE WAS COMPLETED. THE PT WAS UNDER GENERAL ANESTHESIA AT THE TIME. THE WRIST PROCEDURE HAD NOT BEEN RESCHEDULED YET. THERE WAS NO OTHER PT IMPACT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KARL STORZ RIGID SCOPE HRX KARL STORZ GMBH & CO. KG 28305BA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Other