BEUDAMED
    FDA Adverse Event Other Summary report: N

    KARL STORZ

    MDR report key: 980508 · Received December 20, 2007

    Report

    Report Number
    2020550-2007-00034
    Event Type
    Other
    Date Received
    December 20, 2007
    Date of Event
    November 14, 2007
    Report Date
    December 18, 2007
    Manufacturer
    KARL STORZ ENDOVISION
    Product Code
    FFZ
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    CO, US
    Reporter Occupation
    OTHER

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Other