inforMED
MalfunctionFAS

ELECTRODE, BIPOLAR

Received Jun 5, 2026 · Event occurred May 4, 2026

Report 9610617-2026-01304 · MDR key 25418001

Device

Generic name

Electrode, Bipolar

Model number

011050-10

Catalog number

011050-10

Lot number

858264

Product problems

  • Detachment of Device or Device Component

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE AFFECTED DEVICE HAS BEEN REQUESTED FOR INVESTIGATION BY THE MANUFACTURER. THE 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 THE RESECTION LOOP BROKE DURING AN INTRAUTERINE OPERATIVE HYSTEROSCOPY PROCEDURE. THE BROKEN PART WAS RETRIEVED WITHOUT INJURY TO PATIENT REPORTED. PROCEDURE COMPLETED WITH LESS THAN 15 MINS DELAY. NO NEGATIVE IMPACT IN STATE OF HEALTH REPORTED.