BEUDAMED
    FDA Adverse Event Other Summary report: N

    KARL STORZ

    MDR report key: 1102143 · Received March 22, 2008

    Report

    Report Number
    2020550-2008-00008
    Event Type
    Other
    Date Received
    March 22, 2008
    Date of Event
    February 15, 2008
    Report Date
    March 20, 2008
    Manufacturer
    KARL STORZ GMBH & CO. KG
    Product Code
    FED
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    CA
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DR WAS REMOVING RESECTOSCOPE AT CONCLUSION OF PROCEDURE WHEN BEAK ALLEGEDLY BROKE OFF IN PT. DR MANIPULATED BROKEN PIECE INTO BLADDER, REPOSITIONED IT AND THEN REMOVED IT WITH NO PT IMPACT. RETRIEVAL PROLONGED PROCEDURE. DR MATCHED BROKEN PIECE TO INSTRUMENT AND CONFIRMED THERE WERE NO MORE PIECES IN PT. PT CONDITION POST-OP WAS GOOD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KARL STORZ INNER SHEATH FED KARL STORZ GMBH & CO. KG 27040XA KI

    Patients

    Seq Age Sex Outcome Treatment
    1 84 YR Other