BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    METZENBAUM SCISSORS

    MDR report key: 6947637 · Received October 13, 2017

    Report

    Report Number
    6947637
    Event Type
    Malfunction
    Date Received
    October 13, 2017
    Date of Event
    September 25, 2017
    Report Date
    September 26, 2017
    Manufacturer
    ACCURATE SURGICAL & SCIENTIFIC INSTRUMENTS CORP.
    Product Code
    LRW
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE SURGEON WAS USING SCISSORS ON PATIENTS SKIN/TISSUE WHEN THE SCISSOR TIP BROKE OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    728136 METZENBAUM SCISSORS SCISSORS, GENERAL, SURGICAL LRW ACCURATE SURGICAL & SCIENTIFIC INSTRUMENTS CORP. ASIM-12-04632CC/24XAGBC

    Patients

    Seq Age Sex Outcome Treatment
    1 NO| NO OTHER THERAPIES