BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    24 FR CUTTING LOOP 27050G

    MDR report key: 1960962 · Received January 10, 2011

    Report

    Report Number
    MW5018958
    Event Type
    Malfunction
    Date Received
    January 10, 2011
    Date of Event
    January 5, 2011
    Report Date
    January 5, 2011
    Manufacturer
    STORZ
    Product Code
    KNS
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING TURP, CUTTING LOOP STOPPED WORKING. WE DISCOVERED THAT THE YELLOW INSULATION ALONG SIDE HAD SPIT. DATES OF USE: (B)(6) 2011. DIAGNOSIS OR REASON FOR USE: BPH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 24 FR CUTTING LOOP 27050G CUTTING LOOP KNS STORZ W40966

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR