FDA Adverse Event
Malfunction
Summary report: N
23G, HOFFMAN/AHMED HORIZONTAL SCISSORS STR.
MDR report key: 4379102
·
Received December 23, 2014
Report
- Report Number
- 3019924-2014-00059
- Event Type
- Malfunction
- Date Received
- December 23, 2014
- Report Date
- December 18, 2014
- Manufacturer
- MICROSURGICAL TECHNOLOGY, INC.
- Product Code
- HNF
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE SCISSOR WAS RETURNED WITH DAMAGE THAT IS INDICATIVE OF THE SCISSOR BEING USED TO CUT TOO HARD OF AN OBJECT. THE SCISSOR WAS MOST LIKELY DAMAGED IN A PREVIOUS USE.
Description of Event or Problem · 1
THE FACILITY REPORTED THAT THE 23G, HOFFMAN/AHMED HORIZONTAL SCISSOR BROKE WHEN THE SURGEON ATTEMPTING TO CUT TISSUE IN THE EYE. THE BROKEN PIECE OF THE SCISSOR WAS REMOVED AND THE PROCEDURE WAS COMPLETED AS PLANNED. THERE WAS NO IMPACT TO THE PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 848427 | 23G, HOFFMAN/AHMED HORIZONTAL SCISSORS STR. | OPHTHALMIC SCISSOR | HNF | MICROSURGICAL TECHNOLOGY, INC. | DFH-0010 | 038538 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |