FDA Adverse Event
Malfunction
Summary report: N
GRIESHABER ULTRASHARP KNIFE
MDR report key: 11889170
·
Received May 26, 2021
Report
- Report Number
- 3003398873-2021-00033
- Event Type
- Malfunction
- Date Received
- May 26, 2021
- Report Date
- May 26, 2021
- Manufacturer
- ALCON GRIESHABER AG
- Product Code
- HNN
- UDI-DI
- 07612717000063
- PMA / PMN Number
- EXEMPT
- Removal / Correction Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. THE MANUFACTURER INTERNAL REFERENCE NUMBER IS: (B)(4).
Description of Event or Problem · 1
A CUSTOMER REPORTED THAT THE TIP OF TWO KNIVES WERE NOT AS SHARP AS USUAL. PROCEDURE DETAILS INFORMATION IS UNKNOWN. THERE WAS NO REPORT OF ANY PATIENT INVOLVEMENT OR PATIENT HARM. ADDITIONAL INFORMATION HAS BEEN REQUESTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 784771 | GRIESHABER ULTRASHARP KNIFE | KNIFE, OPHTHALMIC | HNN | ALCON GRIESHABER AG | NA | F190610 | 07612717000063 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |