FDA Adverse Event
Malfunction
Summary report: N
SION SURGICAL INSTRUMENT
MDR report key: 23785631
·
Received December 11, 2025
Report
- Report Number
- 3010363671-2025-00016
- Event Type
- Malfunction
- Date Received
- December 11, 2025
- Date of Event
- November 13, 2025
- Report Date
- December 11, 2025
- Manufacturer
- SIGHT SCIENCES INC
- Product Code
- HMZ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
THE PHYSICIAN WHO USED A SION DEVICE REPORTED THAT DURING USE OF THE DEVICE, IT APPEARED THAT THE TIP WAS BROKEN. THE PHYSICIAN WAS, HOWEVER, ABLE TO COMPLETE THE PROCEDURE WITH THE DEFECTIVE DEVICE. ALTHOUGH THERE WAS NO FOREIGN BODY LEFT BEHIND IN THIS INSTANCE, THERE IS A POTENTIAL RISK OF LEAVING A FOREIGN BODY IF THIS MALFUNCTION WERE TO RECUR THAT WILL NECESSITATE AN INTERVENTION TO REMOVE THE BROKEN PIECE (FOREIGN BODY).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2761489 | SION SURGICAL INSTRUMENT | SION SURGICAL INSTRUMENT | HMZ | SIGHT SCIENCES INC | F25F15-01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |