BEUDAMED
    FDA Adverse Event Other Summary report: N

    KARL STORZ

    MDR report key: 727322 · Received May 4, 2006

    Report

    Report Number
    2020550-2006-00024
    Event Type
    Other
    Date Received
    May 4, 2006
    Date of Event
    April 7, 2006
    Report Date
    May 1, 2006
    Manufacturer
    OMNI CORPORATION
    Product Code
    FET
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS ANESTHESIZED FOR A URETHROTOMY PROCEDURE. BEFORE THE PROCEDURE STARTED THE VIDEO CART'S ARTICULATING ARM, WHICH HOLDS A FLAT PANEL MONITOR CAME OUT OF ITS SOCKET/CUP CAUSING THE ARM TO SWING FREE AND FRONT FACE OF THE MONITOR SCREEN TO FALL ON THE PATIENT'S FACE. A PAD HAD BEEN LAID ACROSS THE PATIENT'S FACE AND THE MONITOR HAD CALBE TIES ON THE MONITOR CABLES, LESSENING THE IMPACT. THE PROCEDURE WAS IMMEDIATELY TERMINATED AND THE PATIENT WAS VISUALLY EXAMINED; NO APPARENT INJURIES WERE NOTED. THE PATIENT WAS ALSO CT SCANNED AND THE RESULT WAS NEGATIVE; PATIENT CONDITION WAS GOOD. ANOTHER SURGERY HAD TO BE RESCHEDULED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KARL STORZ VIDEO CART FET OMNI CORPORATION 9601F *

    Patients

    Seq Age Sex Outcome Treatment
    1 03 YR Other