BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    23G HOFFMAN/AHMED HZ SCIS, CVD SFT

    MDR report key: 2481644 · Received February 21, 2012

    Report

    Report Number
    3019924-2012-00001
    Event Type
    Malfunction
    Date Received
    February 21, 2012
    Date of Event
    January 20, 2012
    Report Date
    February 17, 2012
    Manufacturer
    MICROSURGICAL TECHNOLOGY, INC.
    Product Code
    HQC
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    THE FACILITY REPORTED THAT THE SCISSOR BLADE BROKE. THERE WAS NO INDICATION OF IMPACT TO THE PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 23G HOFFMAN/AHMED HZ SCIS, CVD SFT OPHTHALMIC SCISSORS HQC MICROSURGICAL TECHNOLOGY, INC. DFH-0008 039422

    Patients

    Seq Age Sex Outcome Treatment
    1 Other