FDA Adverse Event
Injury
Summary report: N
OPTIMUM BLADE AND KNIFE 15 DEGREES
MDR report key: 12148009
·
Received July 9, 2021
Report
- Report Number
- 1211998-2021-00044
- Event Type
- Injury
- Date Received
- July 9, 2021
- Date of Event
- June 4, 2021
- Report Date
- July 9, 2021
- Manufacturer
- BEAVER-VISITEC INTERNATIONAL, INC.
- Product Code
- HNN
- Removal / Correction Number
- Z-0504-2018
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
CUSTOMER STATED THEY RECEIVED MULTIPLE PACKAGES OF PART 378235 WITH SAFETY SHIELDS RETRACTED: THE BLADE IS EXPOSED WHILE IN PACKAGE. SENIOR SALES REPRESENTATIVE MET WITH CUSTOMER AND DISCOVERED SURGEON RECEIVED A SMALL PUNCTURE TO THE MIDDLE OF HIS RIGHT HAND DUE TO KNIFE BEING EXPOSED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1041107 | OPTIMUM BLADE AND KNIFE 15 DEGREES | OPHTHALMIC KNIVE | HNN | BEAVER-VISITEC INTERNATIONAL, INC. | 873235 | 6017566 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |