BEUDAMED
    FDA Adverse Event Injury Summary report: N

    KARL STORZ

    MDR report key: 231791 · Received July 13, 1999

    Report

    Report Number
    231791
    Event Type
    Injury
    Date Received
    July 13, 1999
    Date of Event
    June 1, 1999
    Report Date
    July 9, 1999
    Manufacturer
    KARL STORZ
    Product Code
    HWI
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NY, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    TIP OF CORKSCREW BROKE OFF DURING SURGERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KARL STORZ CORKSCREW HWI KARL STORZ W15AP 7674 MBI *

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Required Intervention