inforMED
MalfunctionFAS

ELECTRODE, BIPOLAR

Received Mar 16, 2026 · Event occurred Feb 28, 2026

Report 9610617-2026-00574 · MDR key 24613568

Device

Generic name

Electrode, Bipolar

Model number

011050-10

Catalog number

011050-10

Lot number

862169

Product problems

  • Break

Patient

Not reported

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

IT WAS REPORTED THAT DURING THE PROCEDURE, THE LOOP BROKE. THE PROCEDURE WAS COMPLETED WITH THE REPLACEMENT BY ANOTHER LOOP FROM THE SAME LOT.

Additional Manufacturer Narrative

THE DEVICE IN QUESTION WILL NO BE RETURNED TO MANUFACTURER. SHOULD RELEVANT ADDITIONAL INFORMATION / INVESTIGATION RESULTS BECOME AVAILABLE, A SUPPLEMENTAL MEDWATCH REPORT WILL BE SUBMITTED THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID: (B)(4).