FDA Adverse Event Injury Summary report: N

MST SCISSORS

MDR report key: 5018866 · Received August 14, 2015

Report

Report Number
MW5055596
Event Type
Injury
Date Received
August 14, 2015
Date of Event
July 22, 2015
Report Date
July 24, 2015
Manufacturer
MICROSURGICAL TECHNOLOGY INC.
Product Code
HNF
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
KY, US
Reporter Occupation
2

Narratives

Description of Event or Problem · 1

TIP OF MICROSCISSOR BROKE OFF IN PATIENT'S EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
537595 MST SCISSORS DUET SCISSORS HNF MICROSURGICAL TECHNOLOGY INC. 064643

Patients

Seq Age Sex Outcome Treatment
1 3 MO Required Intervention