FDA Adverse Event Malfunction Summary report: N

NAGAHARA PHACO CHOPPER, RH DOMINANT

MDR report key: 21944714 · Received May 1, 2025

Report

Report Number
2242450-2025-00002
Event Type
Malfunction
Date Received
May 1, 2025
Date of Event
February 18, 2025
Report Date
May 1, 2025
Manufacturer
KATENA PRODUCTS INC.
Product Code
HND
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

KATENA (A CORZA MEDICAL COMPANY) REACHED OUT TO THE REPORTER AND ATTEMPTED TO OBTAIN THE INSTRUMENT FOR EVALUATION. ON 29-APR-2025, THE REPORTER INFORMED CORZA CUSTOMER SERVICE PERSONNEL THAT THE BROKEN ITEM WAS EITHER MISPLACED OR DISCARDED AND THAT PRODUCT RETURN FOR EVALUATION WILL NOT BE POSSIBLE. NO LOT NUMBER WAS PROVIDED. THERE HAS BEEN NO REPORT OF DISCOMFORT OR PATIENT HARM POST PROCEDURE.

Description of Event or Problem · 0

ONE 01-APR-2025, A CORZA SALES TEAM MEMBER WAS INFORMED BY A HEALTH FACILITY IN (B)(6) THAT A RHEIN MEDICAL 08-14502 NAGAHARA PHACO CHOPPER TIP BROKE DURING A CATARACT PROCEDURE ON (B)(6) 2025. THE INSTRUMENT'S LOT IS UNKNOWN. THE SURGEON WAS INITIALLY UNSURE WHETHER OR NOT THE BROKEN PIECE REMAINED IN THE PATIENT'S EYE SO A CT SCAN WAS PERFORMED WHICH REVEALED THAT THE BROKEN PIECE REMAINED IN THE PATIENT'S EYE. THE PATIENT EXPERIENCED NO DISCOMFORT OR INFLAMMATION. A SECOND PROCEDURE WAS PERFORMED ON (B)(6) 2025 TO REMOVE THE FOREIGN OBJECT FROM THE PATIENT'S EYE. THE PROCEDURE WAS SUCCESSFUL. THE PATIENT IS RECOVERING WITH NO SYMPTOMS OR DISCOMFORT. CORZA MEDICAL OPENED A COMPLAINT FILE (B)(4) ON 02-APR-2025 TO INVESTIGATE THE INCIDENT. THE BROKEN INSTRUMENT WAS REQUESTED FOR EVALUATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1071908 NAGAHARA PHACO CHOPPER, RH DOMINANT Spatula, ophthalmic HND KATENA PRODUCTS INC. 08-14502

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown