FDA Adverse Event Other Summary report: N

KARL STORZ SPATULA AND TROCAR

MDR report key: 19674 · Received February 25, 1994

Report

Report Number
2020550-1994-00002
Event Type
Other
Date Received
February 25, 1994
Date of Event
January 23, 1994
Report Date
January 25, 1994
Manufacturer
KARL STORZ GMBH & CO.
Product Code
FBQ
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DURING A LAP CHOLE PROCEDURE, PT RECEIVED A SKIN BURN AROUND THE ENTRANCE OF THE TROCAR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KARL STORZ SPATULA AND TROCAR SAME FBQ KARL STORZ GMBH & CO. NI

Patients

Seq Age Sex Outcome Treatment
1 * Other