inforMED
OtherFEC

KARL STORZ

Received Feb 9, 2010 · Event occurred Jan 7, 2010

Report 9610617-2010-00002 · MDR key 1616560

Device

Generic name

Obturator

Model number

11605FO

Catalog number

11605FO

Lot number

KH

Product problems

  • Tip breakage

Patient

Not reported

  • Nonresorbable materials, unretrieved in body

Narrative

Description of Event or Problem

ALLEGEDLY, DURING A SELECTIVE FETOSCOPY LASER PHOTO COAGULATION PROCEDURE, DOCTOR REMOVED OBTURATOR AND FOUND THAT THE TIP WAS MISSING; THROUGH VISUALIZATION, HE CONFIRMED TIP WAS STILL IN PT. HE COMPLETED PROCEDURE. DOCTOR DECIDED IT WOULD BE SAFER TO LEAVE BROKEN PIECE IN PT AND REMOVE IT DURING DELIVERY.

Additional Manufacturer Narrative

THE SHAFT IS SLIGHTLY BENT IN TWO PLACES AND THE DISTAL TIP (8.5MM IN LENGTH) HAS COME OFF. THE TIP IS LASER WELDED TO THE SHAFT. MANUFACTURER SAID THAT IT IS POSSIBLE THAT WELD WAS MECHANICALLY DAMAGED DURING CLEANING PROCESS CAUSING TIP TO BECOME LOOSE. DEVICE WAS RETURNED TO HOSPITAL AT THEIR REQUEST.