FDA Adverse Event
Malfunction
Summary report: N
VIDEO URETERO-RENOSCOPE FLEX-XC1
MDR report key: 24283059
·
Received February 6, 2026
Report
- Report Number
- 1221826-2026-00251
- Event Type
- Malfunction
- Date Received
- February 6, 2026
- Date of Event
- January 14, 2026
- Report Date
- April 2, 2026
- Manufacturer
- KARL STORZ ENDOVISION
- Product Code
- FGB
- UDI-DI
- 04048551428023
- PMA / PMN Number
- K212458
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MS, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
CONCLUSION SUMMARY: INVESTIGATIONAL ACTIVITIES SUGGEST MULTIPLE ROOT CAUSES COULD POTENTIALLY BE RELATED TO IMAGE QUALITY ISSUES. IN AN EFFORT TO FURTHER INVESTIGATE THE POTENTIAL ROOT CAUSES, WE HAVE INITIATED CAPA-25-0042. WE WILL CONTINUE TO TRACK AND TREND IMAGE QUALITY ISSUES. THIS EVENT IS FILED UNDER INTERNAL COMPLAINT ID (B)(4).
Additional Manufacturer Narrative · 0
THE DEVICE WILL BE FORWARDED TO THE MANUFACTURER FOR FURTHER INVESTIGATION. SHOULD RELEVANT ADDITIONAL INFORMATION / INVESTIGATION RESULTS BECOME AVAILABLE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SUBMITTED UNSOLICITED. THIS EVENT IS FILED UNDER INTERNAL COMPLAINT ID (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THE SCOPE WAS GLITCHING ON THE SCREEN DURING A CASE. NO NEGATIVE IMPACT IN STATE OF HEALTH REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 344925 | VIDEO URETERO-RENOSCOPE FLEX-XC1 | VIDEO URETERO-RENOSCOPE FLEX-XC1 | FGB | KARL STORZ ENDOVISION | 091279-01 | 202511131 | 04048551428023 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |