INNER SHEATH FOR 27050 SC
Received Mar 22, 2024 · Event occurred Feb 8, 2024
Report 2020550-2024-00071 · MDR key 18961820
Device
Generic name
Inner Sheath For 27050 Sc
Manufacturer
Karl Storz Se & Co. KgModel number
27050CACatalog number
27050CA
Lot number
OM06
Product problems
- Break
- Break
Patient
79 YR · Male
- Foreign Body In Patient
- Foreign Body In Patient
Narrative
Additional Manufacturer Narrative
ATTEMPTS WERE MADE TO OBTAIN ADDITIONAL INFORMATION AND TO HAVE DEVICE RETURNED FOR EVALUATION; HOWEVER, THERE HAS BEEN NO RESPONSE FROM THE REPORTER AT THE TIME OF THIS REPORT. ONCE THE EVALUATION IS COMPLETED OR IF NEW INFORMATION IS RECEIVED, A SUPPLEMENTAL REPORT WOULD BE MADE TO THE FDA. THIS COMPLAINT WILL BE TRACKED AND TRENDED. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID: (B)4).
Description of Event or Problem
IT WAS REPORTED THAT THE TIP OF INNER SHEATH BROKE OFF DURING SURGERY. THE SURGEON COULD NOT RETRIEVE THE BROKEN PIECE BECAUSE THE BROKEN PIECE COULD NOT BE VISUALIZED ON THE MONITOR. NO ADDITIONAL INFORMATION WAS PROVIDED.