BEUDAMED
    FDA Adverse Event Other Summary report: N

    MILTEX

    MDR report key: 108049 · Received July 25, 1997

    Report

    Report Number
    2431021-1997-00005
    Event Type
    Other
    Date Received
    July 25, 1997
    Date of Event
    July 17, 1997
    Report Date
    July 22, 1997
    Manufacturer
    MILTEX INSTRUMENT CO., INC.
    Product Code
    HNF
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CURVED TIP OF IRIS SCISSOR BROKE AND FELL OFF INTO BIOPSEY, INCISION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MILTEX IRIS SCISSOR, CURVED HNF MILTEX INSTRUMENT CO., INC. 5-SC-306TC UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 18 YR Required Intervention