inforMED
InjuryOCV

CLAMPING JAW, SMALL

Received Apr 14, 2023 · Event occurred Feb 27, 2023

Report 2020550-2023-00079 · MDR key 16747120

Device

Generic name

Clamping Jaw

Product problems

  • Detachment of Device or Device Component
  • Detachment of Device or Device Component

Patient

Unknown

  • Brain Injury
  • Brain Injury

Narrative

Additional Manufacturer Narrative

THE AFFECTED DEVICE HAS BEEN REQUESTED FOR INVESTIGATION BY THE MANUFACTURER. DEVICE WAS NOT YET RETURNED FOR INVESTIGATION. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID: (B)(4).

Description of Event or Problem

DURING THE NEUROSURGICAL INTERVENTION OF COLLOID CYST EXCISION BY VENTRICULAR ENDOSCOPY, THE ENDOSCOPE IS HELD BY A METAL ARM FIXED TO THE INTERVENTION TABLE IN ORDER TO FREE THE SURGEON'S HAND. AT THE END OF THE OPERATION, THE CLAMPING JAW USED TO HOLD THE ENDOSCOPE BROKE, CAUSING MOVEMENT OF THE ENDOSCOPE WHICH WAS IN THE PATIENT'S BRAIN, CAUSING BLEEDING FROM THE EPENDYMAL VEINS AND REDUCING VISIBILITY FOR THE END. INTERVENTION.