FDA Adverse Event Malfunction Summary report: N

PILLING KNIFE HANDLE 3

MDR report key: 2617817 · Received June 7, 2012

Report

Report Number
1044475-2012-00060
Event Type
Malfunction
Date Received
June 7, 2012
Report Date
May 16, 2012
Manufacturer
TELEFLEX
Product Code
GDZ
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

SAMPLE HAS NOT BEEN RECEIVED BY MANUFACTURER IN TIME FOR THIS REPORT. A FOLLOW UP REPORT WILL BE SUBMITTED WHEN COMPLETED.

Description of Event or Problem · 1

THE EVENT IS REPORTED AS: CUSTOMER ALLEGES IT IS VERY DIFFICULT TO BLADE ON AND OFF THE HANDLE. A NURSE'S FINGER GOT CUT WHEN SHE TRIED TO REMOVE THE BLADE. UNK IF SHE USED A FORCEP, AS IS PROTOCOL, TO REMOVE IT. THIS OCCURRED BEFORE PT USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PILLING KNIFE HANDLE 3 KNIFE HANDLE GDZ TELEFLEX H29135295019

Patients

Seq Age Sex Outcome Treatment
1