FDA Adverse Event Other Summary report: N

SASCH COLD KNIFE

MDR report key: 359131 · Received November 5, 2001

Report

Report Number
MW1023280
Event Type
Other
Date Received
November 5, 2001
Date of Event
November 1, 2001
Report Date
November 2, 2001
Manufacturer
KARL STORZ ENDOSCOPY AMERICA INC.
Product Code
EZO
Report Source
Voluntary report
Reporter Location
OH, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

COLD KNIFE BROKE OFF TWICE DURING UROLOGIC PROCEDURE. NO HARM TO PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
49366 SASCH COLD KNIFE STRAIGHT COLD KNIFE EZO KARL STORZ ENDOSCOPY AMERICA INC. 27068K 23802

Patients

Seq Age Sex Outcome Treatment
1 74 YR Other