BEUDAMED
    FDA Adverse Event Injury Summary report: N

    STORTZ

    MDR report key: 273128 · Received April 3, 2000

    Report

    Report Number
    MW1018619
    Event Type
    Injury
    Date Received
    April 3, 2000
    Date of Event
    March 22, 2000
    Report Date
    March 29, 2000
    Manufacturer
    BAUSCH & LOMB SURGICAL, INC.
    Product Code
    KBZ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    RI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING TONSILLECTOMY SURGERY, TONSIL SNARE MALFUNCTIONED WHILE DR WAS REMOVING THE TONSIL - TONSIL SNARE WOULD NOT CUT COMPLETELY THROUGH THE TONSIL. DR HAD TO USE SCISSORS TO REMOVE TONSIL. NO PT INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STORTZ TONSIL SNARE KBZ BAUSCH & LOMB SURGICAL, INC. N6377 *

    Patients

    Seq Age Sex Outcome Treatment
    1 14 YR Required Intervention