BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SKLAR SURGICAL SCISSORS

    MDR report key: 1408142 · Received June 25, 2009

    Report

    Report Number
    1408142
    Event Type
    Injury
    Date Received
    June 25, 2009
    Date of Event
    May 1, 2009
    Report Date
    June 19, 2009
    Manufacturer
    SKLAR INSTRUMENTS
    Product Code
    LRW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NC, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING AN I&D PROCEDURE ON THE RIGHT THUMB, THE TIP OF THE STAINLESS STEEL STRAIGHT SURGICAL SCISSORS BROKE OFF AND FELL INTO THE SURGICAL SITE. THE SURGEON REPORTED NO UNUSUAL STRESS ON THE SCISSORS THAT WOULD EXPLAIN THE BREAKAGE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SKLAR SURGICAL SCISSORS 51/2" STRAIGHT SURGICAL SCISSORS LRW SKLAR INSTRUMENTS 21-275

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Required Intervention