BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KARL STORZ

    MDR report key: 462182 · Received May 23, 2003

    Report

    Report Number
    MW1028494
    Event Type
    Malfunction
    Date Received
    May 23, 2003
    Date of Event
    February 19, 2003
    Report Date
    May 5, 2003
    Manufacturer
    KARL STORZ
    Product Code
    FBJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    IA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING RESECTIONING OF THE PROSTATE, THE STORZ CAUTERY CORD EXPLODED AND GAVE A FLASH OF ELECTRICAL CHARGE. THE CORD CUT ITSELF IN HALF. NO INJURY INCURRED BY PT OR DR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KARL STORZ HIGH FREQUENCY CORD FBJ KARL STORZ 277KB LK

    Patients

    Seq Age Sex Outcome Treatment
    1 82 YR Other