FDA Adverse Event Injury Summary report: N

KNIFE

MDR report key: 4249584 · Received November 6, 2014

Report

Report Number
2523835-2014-00170
Event Type
Injury
Date Received
November 6, 2014
Date of Event
October 15, 2014
Report Date
October 15, 2014
Manufacturer
ALCON PRECISION DEVICE - SINKING SPRING
Product Code
HNN
PMA / PMN Number
NA
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

NO SAMPLE OR LOT NUMBER INFORMATION HAS BEEN RECEIVED BY MANUFACTURING FOR EVALUATION. INVESTIGATION INCLUDING ROOT CAUSE ANALYSIS IS IN PROGRESS. A SUPPLEMENTAL MDR WILL BE FILED AS NECESSARY IN ACCORDANCE WITH 21 CFR 803.56 WHEN ADDITIONAL REPORTABLE INFORMATION BECOMES AVAILABLE. ALL KNIVES ARE 100% INSPECTED BY TRAINED OPERATORS USING A MINIMUM OF 10 X MAGNIFICATION DURING MANUFACTURING. ANY DEFECTS, SUCH AS DAMAGED TIPS AND CUTTING EDGES, ARE REMOVED FROM THE LOT AND SCRAPPED. SHARPNESS TESTING IS PERFORMED AND MONITORED DURING THE FINISHED PROCESS TO ENSURE THE SHARPNESS OF THE PRODUCT. ADDITIONAL INFORMATION HAS BEEN REQUESTED. (B)(4).

Description of Event or Problem · 1

A NURSE REPORTED THAT A SCRUB TECHNICIAN SUSTAINED A SUPERFICIAL CUT TO HIS FINGER ON A KNIFE BLADE THAT WAS STILL INSIDE OF THE PLASTIC TRAY. SOME BLEEDING WAS EXPERIENCED. THE CUT OCCURRED PRIOR TO SURGERY WITH NO OTHER PATIENT INVOLVEMENT. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
714905 KNIFE MANUAL OPTHALMIC SURGICAL INSTRUMENT HNN ALCON PRECISION DEVICE - SINKING SPRING 8065982465 UNK

Patients

Seq Age Sex Outcome Treatment
1 Other