inforMED

TELECAM-C

Received Jan 27, 2021 · Event occurred Nov 7, 2020

Report 11235663 · MDR key 11235663

Device

Generic name

Camera, Cine, Endoscopic, With Audio

Manufacturer

Karl Storz

Model number

20212134

Product problems

  • Poor Quality Image

Patient

12410 DA

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

DID NOT HAVE A PATIENT AT THE START OF THE SHIFT SO I WENT BACK TO HELP RN WITH HER CYSTOSCOPE SET UP. THE PHYSICIAN WANTED TO MAKE SURE THE BLADDER WAS NOT NICKED DURING THE CESAREAN SECTION. AFTER THE SET UP, THE IMAGING WAS NOT CLEAR. WE HAD THE RESIDENTS AND ATTENDING COME TROUBLE SHOUT THE CYSTOSCOPE AS WELL BUT THE IMAGE WAS STILL UNCLEAR. I HAD TO CALL THE MAIN OR TO FIND ANOTHER CYSTOSCOPE. DURING THIS WHOLE TIME, THE PATIENT WAS STILL ON THE OR TABLE AND THE TEAM WAS WAITING. THIS WAS OVER 30+ MINUTE DELAY BECAUSE THERE WAS ONLY ONE TECH SCHEDULED ON NIGHTS AND I HAD TO GO OVER. LUCKILY, THE MAIN OR CHARGE NURSE WAS ABLE TO COME HELP US FIND ALL THE PIECES WE NEEDED IN 300P AND WE WERE ABLE TO BORROW THEIR CYSTOSCOPE AT NIGHT. THIS IS UNSAFE AND LUCKILY WAS NOT AN EMERGENT SITUATION. WE NEED A WORKING CYSTOSCOPE ON THE FLOOR. I KNOW AN INCIDENCE LIKE THIS HAPPENED A WHILE AGO ACCORDING TO MD. SHE WAS ALSO ABLE TO SET UP THE CYSTOSCOPE BUT THE IMAGING WAS NOT CLEAR. THIS IS ALL THE INFORMATION WE HAVE AVAILABLE.