FDA Adverse Event Other Summary report: N

KARL STORZ

MDR report key: 1882413 · Received October 22, 2010

Report

Report Number
9610617-2010-00033
Event Type
Other
Date Received
October 22, 2010
Date of Event
September 20, 2010
Report Date
October 20, 2010
Manufacturer
KARL STORZ GMBH & CO., KG
Product Code
FJL
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE WORKING ELEMENT ELECTRICAL SADDLE HAD A BROKEN 9MM PIECE OF AN ELECTRODE STUCK IN LOCKING RECEPTACLE. THIS PREVENTED THE DOCTOR FROM INSERTING AND LOCKING THE ELECTRODE BEFORE THE CASE. THE SHAFT OF THE WORKING ELEMENT AND THE ELECTRODE CHANNEL ARE BENT AND DENTED, BUT ONCE THE BROKEN END OF ELECTRODE WAS REMOVED, ELECTRODE WAS ABLE TO BE LOCKED IN.

Description of Event or Problem · 1

ALLEGEDLY, AT THE START OF A TURBT CASE, THE DOCTOR WAS UNABLE TO LOCK THE ELECTRODE INTO THE EXTENDED LENGTH WORKING ELEMENT. HE SWITCHED TO STANDARD LENGTH TO CONDUCT AND COMPLETE PROCEDURE. HE WAS UNABLE TO REACH AND RESECT A TUMOR DUE TO ITS LOCATION; THE STANDARD LENGTH WOULD NOT REACH FAR ENOUGH. THE DOCTOR SAID HE WASN'T CERTAIN HE COULD HAVE REACHED TUMOR WITH THE EXTENDED LENGTH EITHER DUE TO ITS LOCATION. DOCTOR HAS NO PLANS TO RESCHEDULE DUE TO PATIENT'S HEALTH CONDITION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KARL STORZ EXTENDED LENGTH WORKING ELEMENT FJL KARL STORZ GMBH & CO., KG 27050EP KD

Patients

Seq Age Sex Outcome Treatment
1 Other