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