BEUDAMED
    FDA Adverse Event Death Summary report: N

    KARL STORZ

    MDR report key: 282262 · Received June 13, 2000

    Report

    Report Number
    2020550-2000-00009
    Event Type
    Death
    Date Received
    June 13, 2000
    Date of Event
    May 18, 2000
    Report Date
    June 12, 2000
    Manufacturer
    KARL STORZ GMBH & CO.
    Product Code
    FEQ
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    WV, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT DIED OF AIR EMBOLISM DURING A HYSTEROSCOPY PROCEURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KARL STORZ CONTINUOUS FLOW PUMP FEQ KARL STORZ GMBH & CO. 27224P *

    Patients

    Seq Age Sex Outcome Treatment
    1 54 YR Death