FDA Adverse Event
Injury
Summary report: N
EASY CHECK FETAL SCALP BLOOD SAMPLER KARL STORZ SE
MDR report key: 11797125
·
Received May 7, 2021
Report
- Report Number
- MW5101257
- Event Type
- Injury
- Date Received
- May 7, 2021
- Date of Event
- May 5, 2021
- Report Date
- May 6, 2021
- Manufacturer
- KARL STORZ ENDOSCOPY-AMERICA, INC.
- Product Code
- HGK
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- GM
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Description of Event or Problem · 1
FETAL SCALP BLOOD SAMPLER FROM KARL STORZ SE. AS CLINICAL REVIEWER I FOUND OUT THAT THE RISK ASSOCIATED WITH THAT PRODUCT NO LONGER JUSTIFY THE BENEFITS, IF ANY BENEFIT AT ALL. THE MANUFACTURER SUBMITTED A CLINICAL EVALUATION FOR THREE YEARS, IGNORING THE CLINICAL DATA WITHOUT PROVIDING ACTION, WHICH LET TO FURTHER CASES. I NEED TO PROVIDE THE AGENCY WITH MY REPORT, SO 4000 CHARACTER ARE NOT SUFFICIENT, PROVIDE AN EMAIL TO REPORT THAT CASE ADEQUATELY. FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 684833 | EASY CHECK FETAL SCALP BLOOD SAMPLER KARL STORZ SE | ENDOSCOPE, FETAL BLOOD SAMPLING (AND ACCESSORIES) | HGK | KARL STORZ ENDOSCOPY-AMERICA, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Life Threatening| O| R| S |