inforMED
MalfunctionCAL

KARL STORZ

Received Jun 14, 2012 · Event occurred Jun 13, 2012

Report 2632565 · MDR key 2632565

Device

Generic name

Laryngoscope, Video

Model number

8401 BXC

Catalog number

*

Lot number

PX02

Product problems

  • Device Reprocessing Problem
  • No Display/Image
  • Moisture Damage

Patient

*

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

DURING INTUBATION PROCEDURE, THE SCOPE SUDDENLY LOST IMAGE. PROCEDURE WAS COMPLETED WITH ALTERNATE EQUIPMENT. NO PATIENT INJURY OCCURRED BUT THERE WAS A SLIGHT DELAY IN THE PROCEDURE. EVALUATION OF THE SCOPE INDICATES FLUID HAD INGRESSED TO THE CIRCUITRY INSIDE THE SCOPE. WE HAVE HAD 6 SIMILAR FAILURES WITH THIS MODEL IN THE PAST 2 WEEKS OR SO. THE DEVICE IS MARKED IPX8, WHICH INDICATES IT SHOULD BE ABLE TO SURVIVE COMPLETE SUBMERSION TO OVER 1M WITHOUT DAMAGE. THE DEVICES ARE NOT MEETING THIS SPECIFICATION. FLUID INGRESS OCCURS DURING THE CLEANING AND DISINFECTION PROCESS.======================MANUFACTURER RESPONSE FOR KARL STORZ VIDEO LARYNGOSCOPE (PER SITE REPORTER).======================SEVERAL UNITS HAVE BEEN RETURNED TO THE MANUFACTURER FOR EVALUATION. MANUFACTURER HAS SUGGESTED USING STERRAD FOR PROCESSING INSTEAD OF SOAKING IN OPA. EVALUATION RESULTS ARE PENDING.