FDA Adverse Event Injury Summary report: N

SCALPEL HANDEL #3

MDR report key: 1378 · Received August 18, 1992

Report

Report Number
1417075-1992-00002
Event Type
Injury
Date Received
August 18, 1992
Date of Event
June 17, 1992
Report Date
August 11, 1992
Manufacturer
SKLAR INSTRUMENTS
Product Code
GDZ
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
MN, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

NURSE WAS REMOVING A SCALPEL BLADE FROM HANDLE WITH KELLY FORCEPS. FORCEPS SLIPPED AND NURSE'S MID FINGER OF RIGHT WAS CUT. LACERATION REQUIRED 8 STITCHES, A HEPATITIS TITRE AND HIV TITRE AS BLADE WAS CONTAMINATEDDEVICE NOT LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: UNKNOWN. INVALID DATA - REGARDING MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.DEVICE WAS NOT EVALUATED AFTER THE EVENT. METHOD OF EVALUATION: NO DATA. RESULTS OF EVALUATION: NO DATA. CONCLUSION: NO DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: UNKNOWN (CANNOT DETERMINE). CORRECTIVE ACTIONS: NONE OR UNKNOWN. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SCALPEL HANDEL #3 SAME GDZ SKLAR INSTRUMENTS UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention