BEUDAMED
    FDA Adverse Event Other Summary report: N

    KARL STORZ

    MDR report key: 852728 · Received May 3, 2007

    Report

    Report Number
    2020550-2007-00008
    Event Type
    Other
    Date Received
    May 3, 2007
    Date of Event
    April 2, 2007
    Report Date
    May 2, 2007
    Manufacturer
    OMNI CORPORATION
    Product Code
    FWZ
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING A HYSTERECTOMY CASE, THE NURSE STARTED TO MANEUVER THE CART ARM, WHEN IT CAME OUT OF THE HOLDER ON THE VIDEO CART. THE NURSE CAUGHT THE ARM WITH THE MONITOR ON IT BEFORE IT FELL TO THE FLOOR. THE CART WAS REMOVED AND THEY BROUGHT IN ANOTHER CART AND COMPLETED THE CASE. THE HOSPITAL CONFIRMED THAT THERE WAS NO PATIENT INVOLVEMENT; HOWEVER, HOSPITAL CONTACT STATED THAT WHEN NURSE CAUGHT THE MONITOR, SHE "TORQUED" HER BACK; SHE WAS ADMINISTERED TREATMENT OF ICE AND IBUPROFEN AND THEN RETURNED TO THE FLOOR.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Other