BEUDAMED
    FDA Adverse Event Other Summary report: N

    KARL STORZ ALLIGATOR FORCEPS

    MDR report key: 14089 · Received March 21, 1994

    Report

    Report Number
    2020550-1994-00007
    Event Type
    Other
    Date Received
    March 21, 1994
    Date of Event
    February 18, 1994
    Report Date
    February 24, 1994
    Manufacturer
    KARL STORZ GMBH & CO.
    Product Code
    JEK
    Report Source
    Distributor report
    Reporter Location
    OK, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING BRONCHOSCOPY FOREIGN BODY REMOVAL, ONE JAW OF THE FORCEPS BROKE OFF AND WAS NOT RETREIVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KARL STORZ ALLIGATOR FORCEPS GRASPING FORCEPS JEK KARL STORZ GMBH & CO. 10378H LZ

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other