FDA Adverse Event
Malfunction
Summary report: N
FINE SURGICAL INSTRUMENTS
MDR report key: 17181087
·
Received June 22, 2023
Report
- Report Number
- 17181087
- Event Type
- Malfunction
- Date Received
- June 22, 2023
- Date of Event
- April 27, 2023
- Report Date
- June 6, 2023
- Manufacturer
- FINE SURGICAL INSTRUMENTS, INC.
- Product Code
- HDJ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NV
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
TIP OR CORD CLAMP CUTTER STICK IN CLAMP WHILE ATTEMPTING TO REMOVE. REMOVED, USED A DIFFERENT CORD CLAMP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1012649 | FINE SURGICAL INSTRUMENTS | SCISSORS, UMBILICAL | HDJ | FINE SURGICAL INSTRUMENTS, INC. | 2922 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |