FDA Adverse Event
Death
Summary report: N
UNKNOWN
MDR report key: 21655103
·
Received March 20, 2025
Report
- Report Number
- 2020550-2025-00340
- Event Type
- Death
- Date Received
- March 20, 2025
- Date of Event
- February 19, 2025
- Report Date
- March 20, 2025
- Manufacturer
- KARL STORZ SE & CO. KG
- Product Code
- GEX
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- UK
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
APART FROM THE INFORMATION THAT THE PROCEDURE WAS A "HOLEP CASE" THERE IS NO FURTHER INFORMATION AVAILABLE. THEREFORE, IT COULD NOT BE DETERMINED WHICH PRODUCT WAS INVOLVED IN THIS EVENT. THE PRODUCT CODE "GEX" STATED IN SECTION D2 WAS DETERMINED AS THE MOST FITTING BASED ON THE LIMITED INFORMATION. THE PRODUCT CODE MAY CHANGE IF FURTHER INFORMATION BECOMES AVAILABLE. THE AFFECTED DEVICE HAS BEEN REQUESTED FOR INVESTIGATION BY THE MANUFACTURER. THE DEVICE WAS NOT YET RETURNED FOR INVESTIGATION. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID: (B)(4).
Description of Event or Problem · 0
ACCORDING TO THE CURRENTLY AVAILABLE INFORMATION IT WAS REPORTED THAT A PATIENT PASSED AWAY AFTER A HOLEP CASE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 451596 | UNKNOWN | UNKNOWN | GEX | KARL STORZ SE & CO. KG | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Death |