inforMED
MalfunctionFBO

FLEXIBLE CYSTOSCOPE

Received Feb 13, 2024 · Event occurred Jan 26, 2024

Report MW5151545 · MDR key 18702777

Device

Generic name

Cystourethroscope

Model number

11272VHUK-TL

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

KARL STORZ FLEXIBLE CYSTOSCOPE 11272VHUK-TL PRESENT GREEN PLASTIC SUBSTANCE DURING REPROCESSING FROM LUMEN AFTER BEING BRUSHED AND FLUSHED. CONFIRMED REPROCESSING STEPS AND THAT APPROPRIATE BRUSH WAS USED WITH KARL STORZ. DURING INITIAL LEASE SWAP 6 OF THE 16 SCOPES SWAPPED PRESENTED WITH THIS GREEN PLASTIC COMPONENT AND WERE NOT PUT INTO SERVICE AND SWAPPED IMMEDIATELY. KARL STORZ DETERMINED THAT THIS ISSUE WAS A MANUFACTURING ERROR. MANUFACTURING DATES OCCURRED FROM OCTOBER 4TH 2023 TO DECEMBER 5TH 2023. INITIAL 16 SCOPES WERE MANUFACTURED NOVEMBER 7TH 2023. THE 6 SCOPES THAT PRESENTED INITIALLY WITH THE GREEN PLASTIC WERE SWAPPED OUT WITH 6 SCOPES THAT WERE MANUFACTURED ON JANUARY 8TH 2024 AND JANUARY 5TH 2024 WHICH IS OUTSIDE OF THE SUSPECTED TIME FRAME OF THE MANUFACTURER ERROR. THE 10 SCOPES THAT WERE NOT SWAPPED OUT INITIALLY HAD NO ISSUES NOTED UNTIL 1-26-2024. AFTER THIS GREEN PLASTIC PRESENTED ON 1-26- 2024 ON ONE SCOPE ALL 16 SCOPES WERE SEQUESTERED UNTIL FURTHER INVESTIGATING WAS DONE WITH KARL STORZ. REFERENCE REPORTS: MW5151530, MW5151531, MW5151532, MW5151533, MW5151534, MW5151535, MW5151536, MW5151537, MW5151538, MW5151539, MW5151540, MW5151541, MW5151542, MW5151543, MW5151544. REFER TO ADD'L DOCUMENTS IN I2K.