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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: KARL STORZ SE & CO. KG TELE PACK +

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KARL STORZ SE & CO. KG TELE PACK + Back to Search Results
Model Number TP101
Medical Device Problem Code Electrical /Electronic Property Problem (1198)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
The device will be forwarded to the manufacturing site for investigation.Should relevant additional information / investigation results become available, a supplemental medwatch report will be submitted unsolicited.This event is filed under internal complaint id (b)(4).
 
Event or Problem Description
It was reported that "getting menu temporarily unavailable message continuously, ethernet port damaged".No negative impact in state of health reported.However, they were not able to finish the procedure.
 
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Brand Name
TELE PACK +
Common Device Name
TELE PACK +
Manufacturer (Section D)
KARL STORZ SE & CO. KG
dr.-karl-storz-strasse 34
tuttlingen 78532
GM  78532
MDR Report Key24538918
Report Number2020550-2026-00426
Device Sequence Number12985456
Product Code FET
UDI-Device Identifier04048551425701
UDI-Public04048551425701
Combination Product (Y/N)N
Initial Reporter StateMA
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Importer
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 03/06/2026
Report Date (Section F) 03/06/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberTP101
Device Catalogue NumberTP101
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Distributor Facility Aware Date02/17/2026
Event Location Hospital
Date Report to Manufacturer03/06/2026
Initial Date Received by Manufacturer Not provided
Initial Report FDA Received Date03/06/2026
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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