BEUDAMED
    FDA Adverse Event Other Summary report: N

    KS KARL STORZ

    MDR report key: 586017 · Received March 21, 2005

    Report

    Report Number
    2027009-2005-00006
    Event Type
    Other
    Date Received
    March 21, 2005
    Date of Event
    February 24, 2005
    Report Date
    March 17, 2005
    Manufacturer
    KARL STORZ IMAGING, INC.
    Product Code
    GCJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS ANESTHETIZED FOR A LASER PVP PROCEDURE. WHEN OR PERSONNEL COULDN'T GET VISUALIZATION FROM THE CAMERA, THE PROCEDURE HAD TO BE CANCELLED AND RESCHEDULED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KS KARL STORZ CAMERA GCJ KARL STORZ IMAGING, INC. 20221130 *

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Other