inforMED
MalfunctionFAS

ELECTRODE, BIPOLAR

Received Mar 30, 2026

Report 9610617-2026-00668 · MDR key 24708754

Device

Generic name

Electrode, Bipolar

Model number

011050-10

Catalog number

011050-10

Lot number

858491

Product problems

  • Detachment of Device or Device Component

Patient

NA · Unknown

  • Foreign Body In Patient

Narrative

Description of Event or Problem

IT WAS REPORTED THAT PRODUCT BROKE INTO THE PATIENT. HOWEVER, NO INFORMATION ABOUT IF PRODUCT WAS RECOVERED AND THERE IS NO INFORMATION ABOUT HARM OR INJURY TO PATIENT REPORTED. THEREFORE, THIS CASE IS REPORTABLE AS PRECAUTION.

Additional Manufacturer Narrative

THE DEVICE IN QUESTION WAS RETURNED TO THE MANUFACTURER. THIS INFORMATION IS REFLECTED IN SECTION D9. THE EVALUATION IS ANTICIPATED, BUT NOT YET BEGUN. THE INVESTIGATION WILL BE PERFORMED BY A DESIGNATED KARL STORZ EMPLOYEE. THE EVENT IS FILED UNDER INTERNAL KARL STORZ COMPLAINT ID: (B)(4).