inforMED
MalfunctionFFZ

KARL STORZ

Received Oct 6, 1997 · Event occurred Sep 29, 1997

Report MW1012235 · MDR key 124662

Device

Generic name

High Frequency Cord

Model number

26002M

Catalog number

*

Lot number

AP03

Product problems

  • Intraprocedure, fire or flash during

Patient

34 YR

  • Unknown (for use when the patient's condition is not known)

Narrative

Description of Event or Problem

DURING A PELVISCOPY PROCEDURE, THE HIGH FREQUENCY CORD USED WITH THE MONOPOLAR ENDOSCOPIC INSTRUMENT CAUGHT ON FIRE AT THE JOINT BETWEEN THE CONNECTOR TO THE ESU AND THE CORD, SEVERING THE CORD INTO TWO PIECES. THE FIRE EXTINGUISHED ITSELF WHEN THE CORD WAS BURNT IN TWO. THIS WAS THE SECOND OCCURRENCE OF THE SAME EVENT WITH A DIFFERENT CORD.