FDA Adverse Event
Injury
Summary report: N
SYMMETRY SURGICAL 3MM KERRISON
MDR report key: 18991213
·
Received March 27, 2024
Report
- Report Number
- MW5153291
- Event Type
- Injury
- Date Received
- March 27, 2024
- Date of Event
- March 20, 2024
- Report Date
- March 22, 2024
- Manufacturer
- SYMMETRY SURGICAL INC.
- Product Code
- HTX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
KERRISON RONGEUR BROKE WHILE IN USE, A PIN THAT HOLDS TOGETHER MULTIPLE PIECES CAME OUT. ALL PIECES RETRIEVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1913669 | SYMMETRY SURGICAL 3MM KERRISON | RONGEUR | HTX | SYMMETRY SURGICAL INC. | 57-0763 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Unknown | Required Intervention |