inforMED
MalfunctionFBO

INNER SHEATH FOR 27050 SC

Received Apr 6, 2024 · Event occurred Mar 12, 2024

Report 9610617-2024-00100 · MDR key 19056678

Device

Generic name

Endoscope Sheath

Model number

27050CA

Catalog number

27050CA

Lot number

PN12

Product problems

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

Patient

NA · Unknown

  • Foreign Body In Patient
  • No Clinical Signs, Symptoms or Conditions
  • Foreign Body In Patient
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

EVALUATION FINDINGS: 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. BEFORE EACH USE. INTERNAL KARL STORZ REFERENCE NUMBER: (B)(4).

Additional Manufacturer Narrative

THIS MDR IS TO CORRECT THE PREVIOUS SUPPLEMENTAL REPORT IN SECTION G3. INTERNAL KARL STORZ REFERENCE NUMBER: (B)(4).

Description of Event or Problem

IT WAS REPORTED THAT DURING A TRANSUETHRAL RESECTION OF THE BLADDER, AFTER EMPTYING THE BLADDER, THE RESECTOSCOPE WAS INSERTED CORRECTLY AND IT WAS FOUND THAT THE CERAMIC TIP HAD BROKEN OFF AND WAS FLOATING IN THE BLADDER. FORTUNATELY, THE BROKEN CERAMIC PARTICLE COULD BE REMOVED FROM THE BLADDER TRANSURETHRALLY BUT THE ANESTHESIA TIME WAS EXTENDED AS A RESULT.

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).