UROLOGY INNER SHEATH
Received Jun 22, 2023 · Event occurred May 25, 2023
Report 9610617-2023-00135 · MDR key 17182943
Device
Generic name
Inner Resectoscope Sheath
Manufacturer
Karl Storz Se & Co. KgModel number
27050CACatalog number
27050CA
Lot number
TQ06
Product problems
- Break
- Detachment of Device or Device Component
- Break
- Detachment of Device or Device Component
Patient
69 YR · Male
- Insufficient Information
- Insufficient Information
Narrative
Additional Manufacturer Narrative
PER MANUFACTURING EVALUATION: ACCORDING TO THE CUSTOMER, THE CERAMIC BEAK WAS BROKEN DURING THE PROCEDURE. IT IS VERY LIKELY THAT THE ARTICLE SHOWS DAMAGE TO THE SHAFT DUE TO USE SIGNS. IN ADDITION, THE DAMAGE MAY HAVE BEEN CAUSED BY EXCESSIVE FORCE DURING USE OR SIGNS OF WEAR AND TEAR. IN THIS CONTEXT, THE IFU POINTS OUT THAT DAMAGE TO THE SHAFT MAY HAVE A NEGATIVE EFFECT ON THE CERAMIC BEAK. THEREFORE, IT IS POINTED OUT IN THE INSTRUCTIONS FOR USE THAT YOU SHOULD CHECK THE CERAMIC COMPONENTS FOR DAMAGE SUCH AS CRACKS, CHIPPING, ETC. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID (B)(4).
Description of Event or Problem
IT WAS REPORTED THAT THERE WAS A MALFUNCTION WITH A 27050CA INNER SHEATH FOR 27050SC. ACCORDING TO THE INFORMATION RECEIVED, THE CERAMIC BEAK BROKE INSIDE PATIENTS BLADDER DURING A TURP PROCEDURE. THE PIECE/PIECES WERE ABLE TO BE REMOVED WITH NO DIRECT HARM TO PATIENT, HOWEVER; AN ADDITIONAL 30 MINUTES OF ANESTHESIA WAS ADDED TO THE PROCEDURE. IT WAS NOTED THE POSSIBILITY OF A 3RD PARTY REPAIR WAS OBSERVED BY (B)(6).
Additional Manufacturer Narrative
MANUFACTURING SITE EVALUATION: THE CERAMIC DISTAL TIP IS BROKEN/FRACTURED WITH REMAINING ATTACHED BEAK HAVING SHARP, JAGGED EDGE. LOT CODE IS TQ 06((06/2019). SHOULD RELEVANT ADDITIONAL INFORMATION/INVESTIGATION RESULTS BECOME AVAILABLE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SUBMITTED UNSOLICITED. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID (B)(4).