BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    STORZ KELLY DECEMET MEMBRANE PUNCH

    MDR report key: 73390 · Received January 3, 1997

    Report

    Report Number
    1932180-1997-00001
    Event Type
    Malfunction
    Date Received
    January 3, 1997
    Date of Event
    August 22, 1996
    Report Date
    December 3, 1996
    Manufacturer
    STORZ INSTRUMENT CO.
    Product Code
    HNJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING AN OPHTHALMIC PROCEDURE, PIECES OF THE COATING OF THIS INSTRUMENT FELL OFF INTO THE EYE. THE PIECES WERE ABLE TO BE ASPIRATED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STORZ KELLY DECEMET MEMBRANE PUNCH OPHTHALMIC MEMBRANE PUNCH HNJ STORZ INSTRUMENT CO. NA NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO