BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEMBRANE PEELING FORCEPS

    MDR report key: 21229 · Received April 18, 1995

    Report

    Report Number
    MW1005646
    Event Type
    Injury
    Date Received
    April 18, 1995
    Date of Event
    January 5, 1995
    Report Date
    March 19, 1995
    Manufacturer
    GRIESHABER & CO., INC.
    Product Code
    HNR
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    SCISSORS MALFUNCTIONED AND 1 OF THE BLADES DROPPED OUT OF THE UNIT AND FELL TO THE RETINAL SURFACE. REMOVED THROUGH ENLARGED SCLEROTOMY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEMBRANE PEELING FORCEPS MEMBRANE PEELING FORCEPS HNR GRIESHABER & CO., INC. 1299

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Required Intervention