BEUDAMED
    FDA Adverse Event Other Summary report: N

    SERRATED KNIGHT SCISSORS

    MDR report key: 273960 · Received April 14, 2000

    Report

    Report Number
    1038548-2000-00005
    Event Type
    Other
    Date Received
    April 14, 2000
    Date of Event
    August 9, 1999
    Report Date
    February 23, 2000
    Manufacturer
    GENZYME SURGICAL PRODUCTS CORP.
    Product Code
    LRW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IS
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING A ROUTINE SUB-MUCOSE RESECTION, PART OF THE INSTRUMENT BLADE ALLEGEDLY BROKE OFF. THE BROKEN PIECE IS ASSUMED TO BE LEFT BEHIND IN THE PT NOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SERRATED KNIGHT SCISSORS SCISSORS LRW GENZYME SURGICAL PRODUCTS CORP. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other