inforMED
MalfunctionFBO

INNER TUBE WITH CERAMIC BEAK

Received Mar 7, 2018 · Event occurred Feb 7, 2018

Report 9610617-2018-00021 · MDR key 7322439

Device

Generic name

Inner Tube With Ceramic Beak

Model number

27050XA

Catalog number

27050XA

Lot number

NT

Product problems

  • Material Separation
  • Material Separation

Patient

69 YR

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

THE SHEATH HAS NOT YET RETURNED TO KARL STORZ FOR EVALUATION.

Description of Event or Problem

ALLEGEDLY, DURING A TURP PROCEDURE, THE CERAMIC TIP OF RESECTOSCOPE SHEATH BROKE OFF INSIDE THE PATIENT'S BLADDER. THE DOCTOR RETRIEVED THE BROKEN PIECE AND COMPLETED THE PROCEDURE. THE PHYSICIAN IS CONFIDENT THAT HE REMOVED ALL THE FRAGMENTS FROM THE PATIENT. PATIENT IS IN STABLE CONDITION AND DOING FINE.

Additional Manufacturer Narrative

THE SHEATH WAS EVALUATED . THE CERAMIC BEAK IS BROKEN OFF, AND THE SHAFT IS DENTED. DAMAGE IS MOST LIKELY DUE TO THE CERAMIC BEAK MAKING CONTACT WITH A HARD SURFACE CAUSING AN INTERNAL CRACK AND RESULTING IN BREAKAGE; WE CANNONT CONFIRM.