FDA Adverse Event Other Summary report: N

KARL STORZ

MDR report key: 3162224 · Received April 19, 2013

Report

Report Number
9610617-2013-00017
Event Type
Other
Date Received
April 19, 2013
Manufacturer
KARL STORZ GMBH & CO. KG
Product Code
GEI
PMA / PMN Number
K021467
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

THE AUTOCON WAS EVALUATED; WHEN UNIT WAS ACTIVATED, ALARM WENT OFF INDICATING ACTIVATION TIME EXCEEDED. IT WAS FOUND THAT THE BIPOLAR RESECTION MODULE THAT ATTACHES TO THE UNIT HAD SHORTED OUT.

Description of Event or Problem · 1

(B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
171244 KARL STORZ AUTOCON ESU GEI KARL STORZ GMBH & CO. KG

Patients

Seq Age Sex Outcome Treatment
1