BEUDAMED
    FDA Adverse Event Other Summary report: N

    REDDICK OLSEN FORCEPS

    MDR report key: 443187 · Received February 5, 2003

    Report

    Report Number
    443187
    Event Type
    Other
    Date Received
    February 5, 2003
    Date of Event
    September 17, 2002
    Report Date
    December 16, 2002
    Manufacturer
    KARL STORZ ENDOSCOPY-AMERICA, INC
    Product Code
    GEN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MD, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    A SURGEON WAS USING THE LAPAROSCOPIC GRASPER DURING A LAPAROSCOPIC CHOLECYSTECTOMY. THE TIP OF THE GRASPER BROKE OFF IN THE PT AND WAS UNABLE TO BE RETRIEVED BY THE SURGEON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 REDDICK OLSEN FORCEPS LAPAROSCOPIC GRASPING FORCEPS GEN KARL STORZ ENDOSCOPY-AMERICA, INC 3331OU1 IM3

    Patients

    Seq Age Sex Outcome Treatment
    1 43 YR