FDA Adverse Event Injury Summary report: N

SEIBEL CHOPPER

MDR report key: 3272590 · Received August 2, 2013

Report

Report Number
MW5031314
Event Type
Injury
Date Received
August 2, 2013
Date of Event
July 22, 2013
Report Date
August 2, 2013
Manufacturer
RHEIN MEDICAL INC.
Product Code
HNQ
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

THE PATIENT WAS UNDERGOING A CATARACT SURGERY, WHEN THE SEIBEL CHOPPER TIP BROKE OFF IN THE PATIENT'S EYE. THE SURGEON RETRIEVED THE BROKEN PIECE OUT OF THE EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
363185 SEIBEL CHOPPER HNQ RHEIN MEDICAL INC. 14562

Patients

Seq Age Sex Outcome Treatment
1 88 YR Required Intervention