FDA Adverse Event Other Summary report: N

KARL STORZ

MDR report key: 933371 · Received October 12, 2007

Report

Report Number
2020550-2007-00027
Event Type
Other
Date Received
October 12, 2007
Date of Event
August 6, 2007
Report Date
October 4, 2007
Manufacturer
KARL STORZ GMBH & CO. KG
Product Code
LQS
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
IN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DR WAS TESTING UNIT BEFORE PROCEDURE. A BIOTECH WAS HOLDING THE PROBE AND A CONTAINER OF WATER TO FIRE PROBE IN FOR TESTING PURPOSES. DR ACTIVATED UNIT PREMATURELY AND BIOTECH RECEIVED A SHOCK WHICH LEFT A RED MARK ON HER HAND. SHE WAS SENT TO EMERGENCY, WHERE SHE WAS GIVEN AN EKG. THERE WERE NO ISSUES FOUND, BUT SHE WAS SENT HOME AS A PRECAUTION. NO MEDICAL TREATMENT WAS NECESSARY. WHEN SHE RETURNED TO THE HOSP, SHE WAS CHECKED AGAIN, AND AGAIN MEDICAL TREATMENT WAS UNNECESSARY; SHE WAS RELEASED BACK TO WORK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KARL STORZ CALCUTRIPT - LITHOTRIPTER LQS KARL STORZ GMBH & CO. KG 27080C NA

Patients

Seq Age Sex Outcome Treatment
1 * Other