MAUDE MDR 197323

MDR report key
197323
Report number
1932180-1998-00068
Event key
0
Event type
3
Date of event
1998-10-06
Date received
1998-11-12
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1BALLENGER SWIVEL KNIFENASAL KNIFEBAUSCH & LOMB SURGICALKASNAN2264NANYY

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
11998-11-120

Event Narratives#

D

Patient 1

DURING A SURGICAL PROCEDURE THIS KNIFE BROKE. THERE WAS NO PT INJURY.