FDA Adverse Event Malfunction Summary report: N

KNIFE

MDR report key: 2171418 · Received June 30, 2011

Report

Report Number
2523835-2011-00100
Event Type
Malfunction
Date Received
June 30, 2011
Report Date
May 31, 2011
Manufacturer
ALCON PRECISION DEVICE - SINKING SPRING
Product Code
HNN
PMA / PMN Number
NA
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SW
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

THE SAMPLE HAS BEEN RECEIVED AND IN-HOUSE EVAL IS IN PROGRESS. THE DEVICE HISTORY RECORD (DHR) FOR THE LOT WAS REVIEWED. FUNCTIONAL SHARPNESS TEST VALUES FOR THE LOT MET SPECIFICATION. NO ABNORMALITIES THAT COULD HAVE CONTRIBUTED TO A DULL KNIFE WERE FOUND DURING THE DHR REVIEW AND THE PRODUCT WAS RELEASED ACCORDING TO MANUFACTURER'S ACCEPTANCE CRITERIA. THE ROOT CAUSE IS UNK AT THIS TIME. (B)(4).

Description of Event or Problem · 1

A NURSE REPORTED THAT THE KNIVES USED DURING SURGERY ARE NOT SHARP ENOUGH AND ANOTHER KNIFE IS REQUIRED TO COMPLETE EACH CASE. THERE WAS NO PT HARM REPORTED. ADDITIONAL INFO HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KNIFE MANUAL OPHTHALMIC SURGICAL INSTRUMENT HNN ALCON PRECISION DEVICE - SINKING SPRING 8065922201 832467M

Patients

Seq Age Sex Outcome Treatment
1