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 |