BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FOREIGN BODY FORCEPS, 28 CM

    MDR report key: 24765022 · Received April 2, 2026

    Report

    Report Number
    9610617-2026-00717
    Event Type
    Malfunction
    Date Received
    April 2, 2026
    Date of Event
    March 18, 2026
    Report Date
    April 2, 2026
    Manufacturer
    KARL STORZ SE & CO. KG
    Product Code
    OCZ
    UDI-DI
    04048551079119
    PMA / PMN Number
    K950434
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ME, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    THE DEVICE WILL NOT 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 THAT THE TECH IN THE ROOM DID TEST PRIOR TO IT GOING IN THE PATIENT AND IT WAS OPENING AND CLOSING FINE, ONCE INSIDE IT BROKE WITH JAWS OPEN SO SHE REMOVED THE HANDLE AND USED ANOTHER GRASPER TO PULL FRAYED ENDS AND THAT CLOSED THE JAWS AND SHE SLOWLY PULLED IT ALL OUT. NO NEGATIVE IMPACT IN STATE OF HEALTH REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    831085 FOREIGN BODY FORCEPS, 28 CM FOREIGN BODY FORCEPS, 28 CM OCZ KARL STORZ SE & CO. KG 27071TJ UQ01 04048551079119

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown