MAUDE Adverse Event Report: KARL STORZ SE & Co. KG C-MAC Connecting Cable

Model Number	8403X
Medical Device Problem Codes	Mechanical Problem (1384); Output Problem (3005)
Health Effect - Clinical Codes	Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	07/09/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
The following was reported: during a procedure yesterday, the device switched off.There was an intermittent electrical/contact failure while the video system was being used in an emergency situation.The procedure was completed successfully but medical, surgical, or diagnostic intervention was required.No adverse consequences reported.Cross reference mdr: 9610617-2026-01714; 9610617-2026-01715; 9610617-2026-01860; 9610617-2026-01861.
Additional Manufacturer Narrative
The device in question was returned to manufacturer for evaluation as reflected in section d9.The investigation is not yet complete; investigation results are pending.The event is filed under internal karl storz complaint id: (b)(4).Cross reference internal complaint id: (b)(4).

• Brand Name: C-MAC Connecting Cable
• Common Device Name: C-MAC Connecting Cable
• Manufacturer (Section D): KARL STORZ SE & Co. KG; dr.-karl-storz-strasse 34; tuttlingen 78532 ; GM 78532
• MDR Report Key: 50225677
• Report Number: 50225677
• Device Sequence Number: 13327350
• Product Code: CCW
• UDI-Device Identifier: 04048551389225
• UDI-Public: 04048551389225
• Combination Product (Y/N): N
• Initial Reporter Country: FR
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 08/12/2026
• Report Date (Section F): 08/12/2026

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 Number: 8403X
• Device Catalogue Number: 8403X
• Was Device Available for Evaluation?: Yes
• Date Returned to Manufacturer: 07/28/2026
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Distributor Facility Aware Date: 08/03/2026
• Event Location: Hospital
• Date Report to Manufacturer: 08/12/2026
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 08/12/2026
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Sex: Unknown