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 |