inforMED
InjuryFAS

ELECTRODE, UNIPOLAR, POINTED

Received Oct 30, 2024 · Event occurred Oct 11, 2024

Report 2020550-2024-00426 · MDR key 20569743

Device

Generic name

Electrode, Unipolar, Pointed

Model number

011111-10

Catalog number

011111-10

Lot number

851098

Product problems

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

Patient

NA · Unknown

  • Electric Shock
  • Insufficient Information
  • Electric Shock
  • Insufficient Information

Narrative

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).

Description of Event or Problem

IT WAS REPORTED THAT WHIST USING THE CUT FUNCTION, THE ELECTRODE LOOP BROKE APART. THE PHYSICIAN ALSO REPORTED WHEN THIS OCCURRED, HE FELT AN ELECTRIC SHOCK. HOWEVER, THE REPORTER SAID THIS WAS UNLIKELY AS THE PHYSICIAN WAS SCRUBBED AND WEARING GLOVES.