FDA Adverse Event
Malfunction
Summary report: N
*
MDR report key: 796645
·
Received December 11, 2006
Report
- Report Number
- 796645
- Event Type
- Malfunction
- Date Received
- December 11, 2006
- Date of Event
- November 29, 2006
- Report Date
- December 1, 2006
- Manufacturer
- SRI/SURGICAL EXPRESS, INC.
- Product Code
- LRW
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- NC, US
Narratives
Description of Event or Problem · 1
DURING PLANTAR FASCITIS PROCEDURE, TIP OF IRIS SCISSORS BROKE OFF. TIP RETRIEVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | * | INSTRUMENT, SCISSORS | LRW | SRI/SURGICAL EXPRESS, INC. | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 33 YR |