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 |