FDA Adverse Event Other Summary report: N

BLACK HANDLED METZENBAUM SCISSORS

MDR report key: 10199 · Received August 4, 1993

Report

Report Number
10199
Event Type
Other
Date Received
August 4, 1993
Date of Event
March 8, 1993
Report Date
July 29, 1993
Manufacturer
PILLING
Product Code
LRW
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
FL, US
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

WHILE UNDERGOING PULMONIC VALVE REPLACEMENT AND TRICUSPID VALVE REPAIR ON MARCH 8, 1993, A PIECE OF SCISSOR BROKE OFF INTO THE PATIENT'S CHEST. THIS WAS UNKNOWN UNTIL DETECTED BY CHEST X-RAY. THIS FOREIGN BODY WAS SURGICALLY RETRIEVED ON MARCH 12, 1993.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BLACK HANDLED METZENBAUM SCISSORS SURGICAL SCISSORS LRW PILLING UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 73 YR Other