BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    METZENBAUM SCISSORS 7 CVD

    MDR report key: 4262058 · Received November 4, 2014

    Report

    Report Number
    2523190-2014-00067
    Event Type
    Malfunction
    Date Received
    November 4, 2014
    Report Date
    October 10, 2014
    Manufacturer
    INTEGRA YORK, PAN INC.
    Product Code
    LRW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    TO DATE, THE DEVICE INVOLVED IN THE REPORTED INCIDENT HAS NOT BEEN RECEIVED FOR EVALUATION. AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFORMATION.

    Description of Event or Problem · 1

    THE DEALER INITIALLY REPORTED THAT THE DEVICE WAS BROKEN. ON (B)(6) 2014, DEALER REPORTS DOCTOR WAS CUTTING TISSUE WHEN THE SCISSOR BROKE, HE COVERED ALL PARTS, NO HARM DONE. NO FURTHER INFORMATION AVAILABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    707522 METZENBAUM SCISSORS 7 CVD M5 - GENERAL SURGERY LRW INTEGRA YORK, PAN INC.

    Patients

    Seq Age Sex Outcome Treatment
    1