FDA Adverse Event Death Summary report: N

KARL STORZ

MDR report key: 221999 · Received April 26, 1999

Report

Report Number
2020550-1999-00006
Event Type
Death
Date Received
April 26, 1999
Date of Event
April 6, 1999
Report Date
April 26, 1999
Manufacturer
KARL STORZ GMBH & CO.
Product Code
FED
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
MI, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

DURING A TURP PROCEDURE, A WHITE OBJECT WAS NOTED AND DR MADE ATTEMPT TO IRRIGATE THE OBJECT FROM THE BLADDER. THE PROCEDURE CONTINUED. THE PT BECAME BRADYCARDIC AND TREATMENT WAS STARTED BY ANESTHESIA AND STAFF. DR NOTED ABDOMINAL DISTENSION. THE RESECTOSCOPE WAS REMOVED AND A DEFECTIVE END WAS NOTED BY THE SURGEON. HOSPITAL WILL RETURN DEVICE TO KARL STORZ ENDOSCOPY-AMERICA, INC. FOR EVAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KARL STORZ RESECTO SHEATH FED KARL STORZ GMBH & CO. 27040XB KN01

Patients

Seq Age Sex Outcome Treatment
1 83 YR Death