BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MST PACKER/CHANG IOL SCISSORS

    MDR report key: 2232922 · Received July 22, 2011

    Report

    Report Number
    3019924-2011-00012
    Event Type
    Malfunction
    Date Received
    July 22, 2011
    Date of Event
    June 8, 2011
    Report Date
    July 7, 2011
    Manufacturer
    MICROSURGICAL TECHNOLOGY, INC.
    Product Code
    HNF
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    FACILITY REPORTED THAT THE SCISSOR BROKE WHILE ATTEMPTING TO CUT AN OLDER HARD ACRYLIC LENS. THERE WAS NO IMPACT TO THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MST PACKER/CHANG IOL SCISSORS OPHTHALMIC SCISSORS HNF MICROSURGICAL TECHNOLOGY, INC. DFH-0012 025115

    Patients

    Seq Age Sex Outcome Treatment
    1 Other