FDA Adverse Event Malfunction Summary report: N

PILLING CORONARY SCISSORS

MDR report key: 1033156 · Received April 23, 2008

Report

Report Number
1044475-2008-00010
Event Type
Malfunction
Date Received
April 23, 2008
Report Date
March 28, 2008
Manufacturer
TELEFLEX MEDICAL
Product Code
LRW
PMA / PMN Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN REQUESTED FOR INVESTIGATION, BUT HAS NOT BEEN REC'D YET. SHOULD THE DEVICE BECOME AVAILABLE, A DETAILED REVIEW OF THE DEVICE WILL BE PERFORMED.

Description of Event or Problem · 1

COMPLAINT REPORTED: "THE SCISSORS BROKE WHEN THEY WERE BEING USED ON PT." NO REPORTED INJURIES. NO FURTHER INFO OBTAINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PILLING CORONARY SCISSORS CORONARY SCISSORS LRW TELEFLEX MEDICAL MM6

Patients

Seq Age Sex Outcome Treatment
1