inforMED
MalfunctionFBO

INNER SHEATH FOR 27050 SC

Received May 22, 2023

Report 9610617-2023-00639 · MDR key 16974008

Device

Generic name

Inner Sheath For 27050 Sc

Model number

27050CA

Catalog number

27050CA

Lot number

NR02

Product problems

  • Fracture
  • Fracture

Patient

Unknown

  • Insufficient Information
  • Insufficient Information

Narrative

Description of Event or Problem

IT WAS REPORTED THAT TIP CERAMIC TIP FROM SHEAT 27050 SC HAS BROKEN OUT DURING THE OPERATION. NO FURTHER INFORMATION RECEIVED.

Additional Manufacturer Narrative

BELATED EVALUATION AND REPORTING OF THIS COMPLAINT WAS DONE DURING RETROSPECTIVE REVIEW AS PART OF CAPA 20-0052 CORRECTIVE ACTION 6. THE CERAMIC TIP HAS BROKEN OFF OVER THE EDGE OF THE TUBE. THE FRACTURE SURFACES ARE NOT DISCOLORED. THE BONDING IS INTACT. THE SHANK WAS PRESUMABLY MECHANICALLY PRE-DAMAGED. THE PRE-DAMAGE MUST HAVE OCCURRED NOT TOO FAR APART IN TIME, AS THE FRACTURE SURFACES DO NOT SHOW ANY DISCOLORATION. THERE IS NO INDICATION FOR A MATERIAL / MANUFACTURING PROBLEM. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID (B)(4).