FDA Adverse Event Injury Summary report: N

BIPOLAR HIGH FREQUENCY CORD, 400 CM

MDR report key: 23663090 · Received November 26, 2025

Report

Report Number
2020550-2025-02197
Event Type
Injury
Date Received
November 26, 2025
Date of Event
October 23, 2025
Report Date
November 26, 2025
Manufacturer
KARL STORZ SE & CO. KG
Product Code
GEI
UDI-DI
04048551388778
Adverse Event
Yes
Product Problem
Yes
Report Source
Distributor report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WILL NOT BE FORWARDED TO THE MANUFACTURING SITE FOR INVESTIGATION. SHOULD RELEVANT ADDITIONAL INFORMATION/INVESTIGATION RESULTS BECOME AVAILABLE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SUBMITTED UNSOLICITED. ALSO, CORRECTION MADE ON THE REPORT NUMBER TO 2020550-2025-02197 (WE ENTERED THE YEAR OF 2023 IN ERROR ON THE INITIAL IMPORTER). THIS EVENT IS FILED UNDER INTERNAL COMPLAINT ID: (B)(4). CROSS REFERENCE COMPLAINT ID: (B)(4).

Description of Event or Problem · 0

ACCORDING TO THE INFORMATION RECEIVED, DR (B)(6) WAS PERFORMING A CYSTOSCOPY TURP. HE WAS RE-INSERTING THE WORKING ELEMENT INTO THE SHEATH, AND IT SHOCKED HIS HAND. HE WAS NOT INJURED NOR WAS THE PATIENT. IT DELAYED THE CASE FOR 10 MINUTES WHILE THEY SWITCHED OUT THE EQUIPMENT. DOCTOR SWITCHED TO OTHER DEVICE AND COMPLETED THE PROCEDURE WITHOUT INJURY TO PATIENT. CROSS REFERENCE MDR: 9610617-2025-02198.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1978709 BIPOLAR HIGH FREQUENCY CORD, 400 CM BIPOLAR HIGH FREQUENCY CORD, 400 CM GEI KARL STORZ SE & CO. KG UH801 NOT PROVIDED 04048551388778

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other