FDA Adverse Event
Malfunction
Summary report: N
ENDOSCOPIC VIDEO IMAGING SYSTEM/COMPONENT, GASTROENTEROLOGY-UROLOGY
MDR report key: 24471180
·
Received February 27, 2026
Report
- Report Number
- 9610617-2026-00389
- Event Type
- Malfunction
- Date Received
- February 27, 2026
- Date of Event
- February 6, 2026
- Report Date
- May 27, 2026
- Manufacturer
- KARL STORZ SE & CO. KG
- Product Code
- FET
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SP
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE AFFECTED DEVICE HAS BEEN REQUESTED FOR INVESTIGATION BY THE MANUFACTURER. DEVICE WAS NOT RETURNED AT THE TIME OF MDR SUBMISSION. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID: (B)(4).
Description of Event or Problem · 0
IT WAS REPORTED THAT PRIOR TO A ROBOTIC LAPAROSCOPIC TRANSANAL MINIMALLY INVASIVE SURGERY, AN "ENDOSCOPE ERROR" ERROR WAS TRIGGERED. TO RESOLVE THE ISSUE, THE TEAM REBOOTED THE ICG AND CONNECTED AND DISCONNECTED THE CABLES ON THE BACK OF THE TC201EN MODULE (VIDEO OUTPUTS). NO NEGATIVE IMPACT IN STATE OF HEALTH REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 157845 | ENDOSCOPIC VIDEO IMAGING SYSTEM/COMPONENT, GASTROENTEROLOGY-UROLOGY | FET | KARL STORZ SE & CO. KG | TC201EN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |