FDA Adverse Event
Other
Summary report: N
KARL STORZ
MDR report key: 174016
·
Received June 25, 1998
Report
- Report Number
- MW1014068
- Event Type
- Other
- Date Received
- June 25, 1998
- Date of Event
- May 21, 1998
- Report Date
- June 25, 1998
- Manufacturer
- KARL STORZ ENDOSCOPY-AMERICA, INC.
- Product Code
- KNS
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- BIOMEDICAL ENGINEER
Narratives
Description of Event or Problem · 1
DURING A LAPAROSCOPIC CHOLECYSTECTOMY PROCEDURE, THE HIGH FREQUENCY CORD USED WITH THE MONOPOLAR ENDOSCOPIC INSTRUMENT CAUGHT FIRE AT THE JOINT BETWEEN THE CONNECTOR TO THE ELECTROSURGICAL UNIT AND THE CORD. THIS CAUSED THE HIGH FREQUENCY CORD TO SEVER IN TWO. THE FIRE WAS EXTINGUISHED. THIS IS THE THIRD SUCH OCCURRENCE OF THE SAME EVENT (IE WITH DIFFERENT CORD EACH TIME).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | KARL STORZ | HIGH FREQUENCY CORD | KNS | KARL STORZ ENDOSCOPY-AMERICA, INC. | 26006M | EN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 YR | Other |