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