FDA Adverse Event
Malfunction
Summary report: N
BELLUCCI SCISSORS
MDR report key: 83126
·
Received April 11, 1997
Report
- Report Number
- 1932180-1997-00039
- Event Type
- Malfunction
- Date Received
- April 11, 1997
- Report Date
- March 12, 1997
- Manufacturer
- STORZ INSTRUMENT CO.
- Product Code
- JZB
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
DURING A TYMPANOPLASTY (EAR DRUM REPAIR) PROCEDURE, A BLADE FROM THIS PAIR OF SCISSORS BROKE OFF. THE BLADE WAS RETRIEVED AND THE PROCEDURE WAS COMPLETED WITHOUT PROBLEMS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BELLUCCI SCISSORS | EAR SCISSORS | JZB | STORZ INSTRUMENT CO. | NA | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NO INFO |