BIPOLAR HIGH FREQUENCY CORD, 400 CM
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
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).
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 |