BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MEDICAL ACTION INDUSTRIES

    MDR report key: 11919386 · Received June 2, 2021

    Report

    Report Number
    11919386
    Event Type
    Malfunction
    Date Received
    June 2, 2021
    Date of Event
    May 16, 2021
    Report Date
    May 18, 2021
    Manufacturer
    MEDICAL ACTION INDUSTRIES INC.
    Product Code
    MCZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    SCISSORS FELL APART WHEN USER STARTED TO PICK THEM UP OUT OF THE KIT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    817814 MEDICAL ACTION INDUSTRIES SUTURE REMOVAL KIT MCZ MEDICAL ACTION INDUSTRIES INC. 75431 281932

    Patients

    Seq Age Sex Outcome Treatment
    1