FDA Adverse Event
Malfunction
Summary report: N
SKLAR
MDR report key: 22115730
·
Received May 30, 2025
Report
- Report Number
- 3015895045-2025-00001
- Event Type
- Malfunction
- Date Received
- May 30, 2025
- Date of Event
- March 11, 2025
- Report Date
- May 30, 2025
- Manufacturer
- SKLAR INSTRUMENTS
- Product Code
- GEN
- UDI-DI
- 50649111316140
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OK, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
OUR CUSTOMER, (B)(4), REPORTED HOLES IN THE STERILE PACKAGING OF PRODUCT 94-6809 ROCHESTER PEAN FORCEPS CURVED 8 1/2" CS/50. LOT #S 600010 X7EA, 600012 X6EA, 600013 X9EA, 600014 X6EA. THESE WERE NOTED ON INCOMING INSPECTION. THESE PRODUCTS WERE NOT USED ON ANY PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 666844 | SKLAR | ROCHESTER PEAN FORCEPS CURVED 8 1/2" CS/50 | GEN | SKLAR INSTRUMENTS | 94-6809 | 600010, 600012, 600013, 600014 | 50649111316140 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |