FDA Adverse Event
Malfunction
Summary report: N
SCISSORS, BLUNT, 5 FR., 34 CM
MDR report key: 22680459
·
Received July 31, 2025
Report
- Report Number
- 9610617-2025-01334
- Event Type
- Malfunction
- Date Received
- July 31, 2025
- Report Date
- July 31, 2025
- Manufacturer
- KARL STORZ SE & CO. KG
- Product Code
- GCJ
- UDI-DI
- 04048551094280
- PMA / PMN Number
- K935071
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- BE
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE DEVICE IN QUESTION WAS RETURNED TO THE MANUFACTURER. THE EVALUATION IS ANTICIPATED, BUT NOT YET BEGUN. THE INVESTIGATION WILL BE PERFORMED BY A DESIGNATED KARL STORZ EMPLOYEE. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT THE SCISSORS BREAK EVEN WHEN USED ONCE. NO NEGATIVE IMPACT IN STATE OF HEALTH REPORTED. CROSS REFERENCE: MDR 25-1326, 25-1331, 25-1325, 25-1324 AND 25-1333.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2339379 | SCISSORS, BLUNT, 5 FR., 34 CM | SCISSORS, BLUNT, 5 FR., 34 CM | GCJ | KARL STORZ SE & CO. KG | 26159EHW | OK02 | 04048551094280 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |