BEUDAMED
    FDA Adverse Event Other Summary report: N

    IRIS, SUPER CUT, STRAIGHT, 4 1/2"

    MDR report key: 316144 · Received February 12, 2001

    Report

    Report Number
    2431021-2001-00001
    Event Type
    Other
    Date Received
    February 12, 2001
    Date of Event
    January 7, 2001
    Report Date
    February 8, 2001
    Manufacturer
    MILTEX INSTRUMENT CO. INC.
    Product Code
    HNF
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING A PROCEDURE PERFORMED BY THE DR, THE TIP OF SCISSOR BROKE OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    5447 IRIS, SUPER CUT, STRAIGHT, 4 1/2" SCISSOR HNF MILTEX INSTRUMENT CO. INC. 5-SC-306-TC UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Required Intervention