FDA Adverse Event Other Summary report: N

KARL STORZ ENDOVISION

MDR report key: 633328 · Received September 2, 2005

Report

Report Number
2020550-2005-00017
Event Type
Other
Date Received
September 2, 2005
Date of Event
July 22, 2005
Report Date
August 31, 2005
Manufacturer
KARL STORZ
Product Code
FFZ
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
FL, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

PATIENT UNDERWNET A CYSTO-URETEROSCOPY PROCEDURE. AFTER THE PROCEDURE, DURING RECOVERY, THE PT COMPLAINED ABOUT PAIN ON THEIR HAND AND AT THAT TIME A BURN ON THE PT'S RIGHT HAND IN THE AREA BETWEEN THE INDEX FINGER AND THUMB WAS OBSERVED. A PLASTIC SURGEON WAS CALLED TO EXAMINE IT AND A SURGERY TO REMOVE THE BURNED SKIN WAS DONE IN 07/05 AND THE PT WAS DISCHARGED THE NEXT DAY. THE HOSPITAL SUSPECTS THE BURN WAS CAUSED AS RESULT OF THE LIGHT CABLE BEING DETACHED FROM THE TELESCOPE, THEN LAID ACROSS THE PT'S CHEST AND LEFT ON THE HAND.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KARL STORZ ENDOVISION LIGHT CABLE FFZ KARL STORZ 495NCS UNK

Patients

Seq Age Sex Outcome Treatment
1 * Other