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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: KARL STORZ SE & CO. KG HOPKINS TELESCOPE 0°, 5 MM, 29 CM

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KARL STORZ SE & CO. KG HOPKINS TELESCOPE 0°, 5 MM, 29 CM Back to Search Results
Model Number R26046AA
Medical Device Problem Codes Leak/Splash (1354); Optical Problem (3001)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/17/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device was returned to our us facility as documented in section d9, and will later 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 image is cloudy.The 5mm scope is used at the beginning of a robotic procedure, and the surgeon uses the scope to look at port placement.The scope was over torque when inside of the trocar, which led to the scope breaking.Further it was reported that the breakage happens when the surgeon is controlling the camera with one hand and is poking the site of his next incision with his other hand.The surgeon does this move quickly and puts a ton of pressure on the body of the shaft- which leads to the broken rod.Attempts have been made to correct the surgeon's workflow, but he's stuck in his way.No negative impact in state of health reported.
 
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Brand Name
HOPKINS TELESCOPE 0°, 5 MM, 29 CM
Common Device Name
HOPKINS TELESCOPE 0°, 5 MM, 29 CM
Manufacturer (Section D)
KARL STORZ SE & CO. KG
dr.-karl-storz-strasse 34
tuttlingen 78532
GM  78532
Manufacturer (Section G)
KARL STORZ SE & CO. KG
dr.-karl-storz-strasse 34
tuttlingen 78532
GM   78532
Manufacturer Contact
anja fair
2151 e grand ave
el segundo, CA 90245
4242188247
MDR Report Key24690090
Report Number9610617-2026-00654
Device Sequence Number15962951
Product Code GCJ
UDI-Device Identifier04048551092088
UDI-Public04048551092088
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
PMA/510(K) Number
K935279
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 05/28/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberR26046AA
Device Catalogue NumberR26046AA
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer03/25/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/17/2026
Supplement Date Received by Manufacturer05/26/2026
Initial Report FDA Received Date03/25/2026
Supplement Report FDA Received Date05/28/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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